Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 030099 | GA |
NPI | 1003858051 |
---|---|
Provider Name | Dr. Angus C Howard JR. |
First Address | Lawrenceville, GA 30046-8762 |
Second Address | Lawrenceville, GA 30046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 31/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000470401A | (05) | GA |
000470401C | (05) | GA |
000470401D | (05) | GA |
000470401E | (05) | GA |
000470401F | (05) | GA |
000470401G | (05) | GA |
000470401H | (05) | GA |
000470401I | (05) | GA |
000470401K | (05) | GA |
000470401O | (05) | GA |
000470401Q | (05) | GA |
110051099 | RAILROAD MEDICARE (01) | |
1634458 | CIGNA (01) | GA |
28257 | BCBS (01) | GA |
3106162 | UNITED HEALTH CARE (01) | GA |
505559 | AETNA (01) | GA |
E84393 | (02) | GA |