Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 004773 | GA |
NPI | 1275803835 |
---|---|
Provider Name | Dr. Paula Rhodes |
First Address | Atlanta, GA 30342-0141 |
Second Address | Marietta, GA 30060-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2012 |
Last Update Date | 12/01/2012 |