Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 048951 | GA |
N | 2080P0208X | Pediatric Infectious Diseases | 152544 | MA |
N | 2080P0208X | Pediatric Infectious Diseases | GFE84270 | CA |
NPI | 1083869341 |
---|---|
Provider Name | Dr. Michelle Susan Weinberg |
First Address | Atlanta, GA 30329-4018 |
Second Address | Atlanta, GA 30329-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2008 |
Last Update Date | 28/11/2008 |