Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 84964 | GA |
NPI | 1033537907 |
---|---|
Provider Name | Dr. David Joseph Love |
First Address | Newnan, GA 30265-3190 |
Second Address | Newnan, GA 30265-5631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 05/10/2021 |