Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 007286 | GA |
NPI | 1326376054 |
---|---|
Provider Name | Dr. Yale Adam Nogin |
First Address | Atlanta, GA 30305-3200 |
Second Address | Atlanta, GA 30305-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2009 |
Last Update Date | 18/11/2009 |