Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 127936 | NC |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 073386 | GA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 48415 | TN |
NPI | 1164699807 |
---|---|
Provider Name | Carla Ransom |
First Address | Atlanta, GA 30342-1606 |
Second Address | Atlanta, GA 30342-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 24/02/2016 |