Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 080293 | GA |
NPI | 1134362627 |
---|---|
Provider Name | Dr. Michael Hoosien |
First Address | Atlanta, GA 30308-2826 |
Second Address | Atlanta, GA 30309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 10/10/2018 |