Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 042384 | GA |
NPI | 1083617401 |
---|---|
Provider Name | Dr. Monica Elizabeth Parise |
First Address | Doraville, GA 30340-5021 |
Second Address | Atlanta, GA 30341-3717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 08/07/2007 |