Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 246251 | NY |
Y | 207RR0500X | Rheumatology | 89920 | GA |
N | 207RR0500X | Rheumatology | ME129205 | FL |
NPI | 1114116720 |
---|---|
Provider Name | Gustavo Carbone |
First Address | Savannah, GA 31404-6234 |
Second Address | Savannah, GA 31404-6234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2007 |
Last Update Date | 14/12/2021 |