Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 075667 | GA |
NPI | 1114256435 |
---|---|
Provider Name | Dr. Eric Louis Sceusi |
First Address | Atlanta, GA 30309-1796 |
Second Address | Atlanta, GA 30309-1796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 08/08/2016 |