Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 076599 | GA |
NPI | 1144531211 |
---|---|
Provider Name | Dr. Clifton Gregrory Meals |
First Address | Atlanta, GA 30303-3049 |
Second Address | Atlanta, GA 30303-3049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 06/10/2016 |