Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 036971 | GA |
NPI | 1073524849 |
---|---|
Provider Name | Dr. Scott K Fridkin |
First Address | Atlanta, GA 30329-4018 |
Second Address | Atlanta, GA 30329-1614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |