Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 019553 | GA |
N | 207NS0135X | Procedural Dermatology | 019553 | GA |
NPI | 1003954181 |
---|---|
Provider Name | Dr. Philip Z. Mcnaughton |
First Address | Savannah, GA 31406-2445 |
Second Address | Savannah, GA 31406-2445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D30202 | (02) | GA |