Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 260734 | MA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 54548 | KY |
N | 2080P0207X | Pediatric Hematology-Oncologist | 78948 | GA |
NPI | 1053724989 |
---|---|
Provider Name | Amanda Macgregor Harrington |
First Address | Atlanta, GA 30322-0001 |
Second Address | Lexington, KY 40536-0293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2014 |
Last Update Date | 24/12/2020 |