Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 058466 | GA |
NPI | 1134259369 |
---|---|
Provider Name | Dr. Rina Eisenstein |
First Address | Roswell, GA 30076-1291 |
Second Address | Roswell, GA 30076-1291 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 08/07/2007 |