Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 25789 | FL |
NPI | 1669026837 |
---|---|
Provider Name | Dr. Barry Howard Lubin |
First Address | Atlanta, GA 30318-2938 |
Second Address | Atlanta, GA 30318-2938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2019 |
Last Update Date | 26/07/2019 |