Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 050311 | GA |
NPI | 1043235211 |
---|---|
Provider Name | Ben W Thrower |
First Address | Atlanta, GA 30309-1426 |
Second Address | Atlanta, GA 30309-1426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 05/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F26658 | (02) | GA |