Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 011825 | GA |
Y | 1223G0001X | General Practice | 011825 | GA |
Y | 213EG0000X | General Practice | 011825 | GA |
NPI | 1639197403 |
---|---|
Provider Name | Dr. Louis Andrew Day |
First Address | Ringgold, GA 30736-5176 |
Second Address | Ringgold, GA 30736-5176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 17/04/2008 |