Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 11979 | GA |
NPI | 1467815787 |
---|---|
Provider Name | Dr. Bogna Natalia Brzezinska |
First Address | Augusta, GA 30912-0006 |
Second Address | Augusta, GA 30912-0006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 18/12/2020 |