Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN191551 | GA |
NPI | 1003210501 |
---|---|
Provider Name | Abegail Delez Xiang |
First Address | Savannah, GA 31405-5701 |
Second Address | Savannah, GA 31405-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 04/01/2022 |