Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301102731 | MI |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | R8157 | IA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 072750 | GA |
NPI | 1699972018 |
---|---|
Provider Name | Aaron Michael Fletcher |
First Address | Stockbridge, GA 30281-6381 |
Second Address | Stockbridge, GA 30281-6381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 08/07/2016 |