Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 12315 | SC |
NPI | 1023089000 |
---|---|
Provider Name | Dr. Haywood Gordon France |
First Address | Atlanta, GA 30374-3070 |
Second Address | Spartanburg, SC 29303-3098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 04/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100010155 | RAIL ROAD MEDICARE (01) | SC |
123155 | (05) | SC |
4226820 | AETNA (01) | SC |
53909 | MEDCOST (01) | SC |
890557F | (05) | NC |
D99091 | (02) | SC |
P01388230 | RAILROAD MEDICARE (01) | SC |