Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 32493 | GA |
Y | 2084N0400X | Neurologist | 032493 | GA |
NPI | 1407857485 |
---|---|
Provider Name | Dr. Jacqueline Mcfarland Washington |
First Address | Nashville, TN 37203 |
Second Address | Decatur, GA 30033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 27/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00443913D | (05) | GA |
E80695 | (02) | GA |
ME127689 | FL STATE LICENSE (01) | FL |