Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 07-1001 | AZ |
NPI | 1003238692 |
---|---|
Provider Name | Dr. Firlande Volcy |
First Address | Mableton, GA 30126-6124 |
Second Address | Mableton, GA 30126-6124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2014 |
Last Update Date | 15/01/2014 |