Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 051872 | GA |
NPI | 1215932041 |
---|---|
Provider Name | Arnold Michael Conforti |
First Address | Macon, GA 31201 |
Second Address | Macon, GA 31201-8300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 16/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F85379 | (02) | GA |