Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 027508 | GA |
Y | 207RI0011X | Interventional Cardiology | 027508 | GA |
NPI | 1023013315 |
---|---|
Provider Name | Harold D. Carlson |
First Address | Atlanta, GA 30309-1796 |
Second Address | Atlanta, GA 30309-1796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 19/02/2016 |