Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 031498 | GA |
Y | 207VG0400X | Gynecologist | 031498 | GA |
NPI | 1235211442 |
---|---|
Provider Name | Dr. Paula Abby Rothman |
First Address | Atlanta, GA 30328-1709 |
Second Address | Atlanta, GA 30328-1709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 07/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00464043C | (05) | GA |
F44192 | (02) |