Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 66067 | GA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD30961 | AL |
N | 207YP0228X | Pediatric Otolaryngology | 66067 | GA |
Y | 207YP0228X | Pediatric Otolaryngology | 67457 | GA |
N | 207YP0228X | Pediatric Otolaryngology | MD30961 | AL |
NPI | 1437379351 |
---|---|
Provider Name | Dr. Paula J Harmon |
First Address | Atlanta, GA 30342-3009 |
Second Address | Atlanta, GA 30342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 25/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003124272 | (05) | GA |
66102U | (02) | NC |