Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 022414 | GA |
NPI | 1285672329 |
---|---|
Provider Name | Dr. John Michael Hemphill |
First Address | Savannah, GA 31406-2778 |
Second Address | Savannah, GA 31406-2778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 24/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000221768I | (05) | GA |
B70923 | (02) | GA |