Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD001365 | GA |
NPI | 1093197352 |
---|---|
Provider Name | Dr. Sapan Amin |
First Address | Columbus, GA 31904-8927 |
Second Address | Columbus, GA 31904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2015 |
Last Update Date | 29/11/2019 |