Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 79058 | GA |
NPI | 1164859955 |
---|---|
Provider Name | Dr. Adam Pyrzak |
First Address | Atlanta, GA 30305-1736 |
Second Address | Augusta, GA 30912-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2013 |
Last Update Date | 06/02/2022 |