Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 037567 | GA |
Y | 208600000X | Surgeon | 037567 | GA |
NPI | 1023078755 |
---|---|
Provider Name | Dr. Jeffrey S. Hoadley |
First Address | Atlanta, GA 30342-1609 |
Second Address | Sandy Springs, GA 30342-1709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 28/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F72733 | (02) |