Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD424897 | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 66158 | GA |
NPI | 1033264098 |
---|---|
Provider Name | Gina Northington |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 17/03/2018 |