Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 033467 | GA |
NPI | 1023088465 |
---|---|
Provider Name | Dr. William Thomas Tatum |
First Address | Dunwoody, GA 30338-4313 |
Second Address | Atlanta, GA 30326-1039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/07/2007 |