Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CHIR007638 | GA |
NPI | 1992912232 |
---|---|
Provider Name | Dr. Dana Marie Harvey |
First Address | Canton, GA 30114-8857 |
Second Address | Alpharetta, GA 30022-6576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |