Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 61961 | MN |
N | 208000000X | Pediatrician | 86834 | GA |
Y | 2080P0205X | Pediatric Endocrinologist | 86834 | GA |
NPI | 1518385111 |
---|---|
Provider Name | Eric Paul Velazquez |
First Address | Savannah, GA 31404-6267 |
Second Address | Savannah, GA 31404-6267 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 17/09/2020 |