Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 042058 | GA |
NPI | 1114959319 |
---|---|
Provider Name | Amy Hara Hirsh |
First Address | Atlanta, GA 30309-2511 |
Second Address | Atlanta, GA 30309-2511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 06/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00894143C | (05) | GA |
102971 | COVENTRY (01) | |
110235086 | RAILROAD MEDICARE (01) | GA |
1352440003 | CIGNA (01) | |
159662AA | PREFFERED CARE (01) | |
812925 | BCBS (01) | |
8789 | KAISER (01) | |
AA31903 | HARVARD PILGRIM HEALTHCAR (01) | |
H11551 | (02) |