Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN012824 | GA |
Y | 213EG0000X | General Practice | DN012824 | GA |
NPI | 1003941840 |
---|---|
Provider Name | Alla Alpert |
First Address | Roswell, GA 30076-0911 |
Second Address | Roswell, GA 30076-0911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/07/2007 |