Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 070370 | GA |
N | 207VE0102X | Reproductive Endocrinologist | G85090 | CA |
NPI | 1083784144 |
---|---|
Provider Name | Dr. Nestor Edward Dourron |
First Address | Atlanta, GA 30329-3722 |
Second Address | Atlanta, GA 30329-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 19/05/2014 |