Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANUEL NICK TISSURA
ActiveDR. MANUEL NICK TISSURA is a Endodontics healthcare provider located in DECATUR, Georgia. NPI 1295981165 is currently active in the NPPES registry. Verify at CMS.
Endodontics · DECATUR, GA
Registration Details
- NPI Number
- 1295981165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2008 (17.980827299877 yrs)
- Last Updated
- Aug 12, 2008
- License
-
6927 (GA)
Practice Information
- Address
-
2771 LAWRENCEVILLE HWYSUITE 201DECATUR, GA, 300332530Browse GA providers · Browse ZIP 30033
- Phone
- 6789908034
- Fax
- 7709347176
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY KENT WATERS | D.M.D., M.S. | 1245404714 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.