Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 055978 | GA |
NPI | 1073649885 |
---|---|
Provider Name | Dr. Assia A. Stepanian |
First Address | Atlanta, GA 30328-4274 |
Second Address | Atlanta, GA 30328-4274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I43997 | (02) | GA |