Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 037309 | GA |
NPI | 1023028610 |
---|---|
Provider Name | Dr. Lawrence Nathan |
First Address | Atlanta, GA 30342-1606 |
Second Address | Atlanta, GA 30342-1606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 23/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000543298F | (05) | GA |
000543298I | (05) | GA |
000543298J | (05) | GA |
000543298K | (05) | GA |
000543298L | (05) | GA |
00543298D | (05) | GA |
E99843 | (02) | GA |