Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CHIR005250 | GA |
NPI | 1144490509 |
---|---|
Provider Name | Dr. Joseph P Mcnamara |
First Address | Cumming, GA 30041-9348 |
Second Address | Cumming, GA 30041-9348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2008 |
Last Update Date | 01/03/2008 |