Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 031098 | GA |
NPI | 1003850777 |
---|---|
Provider Name | Harriette S Perlstein |
First Address | Sunwanee, GA 30024 |
Second Address | Sunwanee, GA 30024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G68045 | (02) |