Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 69311 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 69311 | GA |
NPI | 1871608489 |
---|---|
Provider Name | Dr. David Wayne Markham |
First Address | Atlanta, GA 30342-1731 |
Second Address | Atlanta, GA 30342-5005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 28/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
175591001 | (05) | TX |
G49021 | (02) |