Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 060782 | GA |
N | 208200000X | Surgeon | 48017 | MN |
N | 208600000X | Surgeon | 48017 | MN |
NPI | 1659341188 |
---|---|
Provider Name | Harrison S Pollinger |
First Address | Atlanta, GA 30309-1281 |
Second Address | Atlanta, GA 30309-1281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 09/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
752610500 | (05) | MN |
I34750 | (02) |