Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 025323 | GA |
NPI | 1073689956 |
---|---|
Provider Name | Eduardo A Baetti |
First Address | Atlanta, GA 30305-1717 |
Second Address | Atlanta, GA 30339-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 06/01/2022 |