Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 63755 | GA |
NPI | 1164698460 |
---|---|
Provider Name | Dr. Xuexian Yan |
First Address | Atlanta, GA 30322-1064 |
Second Address | Atlanta, GA 30322-1064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 14/12/2010 |