Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 045806 | GA |
NPI | 1013998277 |
---|---|
Provider Name | Donna Graf |
First Address | Albany, GA 31707-2267 |
Second Address | Albany, GA 31701-1903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000802711A | (05) | GA |
G39037 | (02) | GA |