Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME96690 | FL |
NPI | 1366646077 |
---|---|
Provider Name | Dr. Liam Mccarthy |
First Address | Atlanta, GA 30384-8175 |
Second Address | Miami, FL 33186-2182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AI403Z | (02) | FL |