Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 047518 | GA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 047518 | GA |
NPI | 1326119918 |
---|---|
Provider Name | Gregg Robert Sachs |
First Address | Atlanta, GA 30342-1710 |
Second Address | Atlanta, GA 30342-1710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 14/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G46056 | (02) | GA |