Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 078246 | GA |
NPI | 1063766160 |
---|---|
Provider Name | Dr. Thomas H Xu |
First Address | Atlanta, GA 30309-1416 |
Second Address | Atlanta, GA 30309-1416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 28/08/2017 |