Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 034441 | GA |
NPI | 1033102850 |
---|---|
Provider Name | Dr. Joseph F Pohl |
First Address | Lawrenceville, GA 30046-3353 |
Second Address | Lawrenceville, GA 30046-3353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 28/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000478926D | (05) | GA |
E95409 | (02) | GA |