Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2677 | GA |
NPI | 1215970355 |
---|---|
Provider Name | Dr. Robert L. Alpert |
First Address | Jonesboro, GA 30236-1902 |
Second Address | Jonesboro, GA 30236-1902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U20462 | (02) | GA |