Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 87484 | GA |
N | 208000000X | Pediatrician | A45716 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | A45716 | CA |
NPI | 1639184328 |
---|---|
Provider Name | Dr. Mary M Aspin |
First Address | Gainesville, GA 30501-3802 |
Second Address | Gainesville, GA 30501-3802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 06/01/2022 |