Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 059066 | GA |
NPI | 1336212521 |
---|---|
Provider Name | Dr. Paul H Garlich |
First Address | Gainesville, GA 30501-7401 |
Second Address | Gainesville, GA 30501-7401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 20/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
267483980A | (05) | GA |