Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 51416 | GA |
Y | 207RI0011X | Interventional Cardiology | 051416 | GA |
N | 207U00000X | Nuclear Medicine Specialist | 51416 | GA |
NPI | 1184692691 |
---|---|
Provider Name | Arthur B Reitman |
First Address | Marietta, GA 30060-1155 |
Second Address | Marietta, GA 30060-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 18/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000949693I | (05) | GA |
000949693J | (05) | GA |
000949693M | (05) | GA |
H57995 | (02) |