Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 038416 | GA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 038416 | GA |
NPI | 1003813379 |
---|---|
Provider Name | Dr. Peter Jay Abramson |
First Address | Atlanta, GA 30342-1771 |
Second Address | Atlanta, GA 30342-1771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 10/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000742541B | (05) | GA |
000742541C | (05) | GA |
000742541E | (05) | GA |
000742541P | (05) | GA |
1076855 | FIRST HEALTH/AFFORDABLE (01) | GA |
52650571 | BCBS OF GEORGIA (01) | GA |
5621528 | AETNA (01) | GA |
8807486 | CIGNA (01) | GA |
G52986 | (02) | GA |