Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 038499 | GA |
NPI | 1114908936 |
---|---|
Provider Name | Dr. Verlia Gower |
First Address | Atlanta, GA 30342-1654 |
Second Address | Atlanta, GA 30342-1654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00614842B | (05) | GA |
BG1939505 | DEA (01) | GA |
F80169 | (02) | GA |