Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 72341 | GA |
N | 208000000X | Pediatrician | 149365 | NC |
NPI | 1730356775 |
---|---|
Provider Name | Dr. Deborah Marinca Huang |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-5812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 17/03/2018 |