Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | BP10060509 | TX |
NPI | 1063941672 |
---|---|
Provider Name | Dr. Eliel N Arrey |
First Address | Atlanta, GA 30310-1458 |
Second Address | Atlanta, GA 30310-1458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2017 |
Last Update Date | 25/03/2020 |