Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CHIRO008114 | GA |
NPI | 1366580102 |
---|---|
Provider Name | Dr. Brady F Hurst |
First Address | Atlanta, GA 30316-1226 |
Second Address | Atlanta, GA 30309-3023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |