Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 077907 | GA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD32215 | AL |
Y | 207YP0228X | Pediatric Otolaryngology | 077907 | GA |
N | 207YP0228X | Pediatric Otolaryngology | MD32215 | AL |
NPI | 1225328362 |
---|---|
Provider Name | Geoffrey Paul Aaron |
First Address | Atlanta, GA 30342-3009 |
Second Address | Atlanta, GA 30342-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 17/03/2018 |