Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 026228 | GA |
NPI | 1063582393 |
---|---|
Provider Name | Dona Suzanne Buchter |
First Address | Atlanta, GA 30322-1014 |
Second Address | Atlanta, GA 30322-1014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D29037 | (02) |