Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | RN194511 | GA |
NPI | 1174916803 |
---|---|
Provider Name | Andrea Elizabeth Pinner |
First Address | Evans, GA 30809-8227 |
Second Address | Augusta, GA 30901-5107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 28/09/2017 |