Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 32354 | AL |
Y | 204F00000X | Transplant Surgeon | 89509 | GA |
NPI | 1447405758 |
---|---|
Provider Name | Dr. Samantha H Aitchison |
First Address | Atlanta, GA 30309-1281 |
Second Address | Atlanta, GA 30309-1281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 13/12/2021 |