Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 5894 | GA |
NPI | 1134375132 |
---|---|
Provider Name | Dr. Daniel Falor |
First Address | Alpharetta, GA 30005-2408 |
Second Address | Alpharetta, GA 30005-2408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 11/08/2008 |