Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CHIRO10687 | GA |
NPI | 1053071258 |
---|---|
Provider Name | Dr. Albin Paul |
First Address | Atlanta, GA 30309-1413 |
Second Address | Atlanta, GA 30309-1413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2021 |
Last Update Date | 29/12/2021 |