Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 83452 | GA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 83452 | GA |
NPI | 1083930812 |
---|---|
Provider Name | Alison Folger Ward |
First Address | New York, NY 10021-2757 |
Second Address | Augusta, GA 30912-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 16/07/2019 |