Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 87827 | GA |
N | 111NI0900X | Internist | 87827 | GA |
NPI | 1003304882 |
---|---|
Provider Name | Dr. Deborah Saepharn |
First Address | Hudson, FL 34667-7103 |
Second Address | Hudson, FL 34667-7103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2018 |
Last Update Date | 23/04/2021 |