Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 627059 | GA |
Y | 207RP1001X | Pulmonary Disease | 627059 | GA |
NPI | 1083824890 |
---|---|
Provider Name | Dr. Jenny Han |
First Address | Atlanta, GA 30303-3049 |
Second Address | Atlanta, GA 30303-3049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 02/12/2015 |