Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD044937 | DC |
N | 2080P0204X | Pediatric Emergency Doctor | 266764 | NY |
Y | 2080P0204X | Pediatric Emergency Doctor | 89564 | GA |
NPI | 1003108309 |
---|---|
Provider Name | Carrie Ng |
First Address | Atlanta, GA 30322-4008 |
Second Address | Atlanta, GA 30322-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2011 |
Last Update Date | 29/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003108309 | (05) | GA |