Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 32328R | PR |
N | 111NI0900X | Internist | 32328R | PR |
N | 207RH0002X | Hospice and Palliative Medicine | 080488 | GA |
Y | 207RH0002X | Hospice and Palliative Medicine | D90307 | MD |
NPI | 1245630730 |
---|---|
Provider Name | Hayda Torres Perdue |
First Address | Marietta, GA 30066-6340 |
Second Address | Clinton, MD 20735-3358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2014 |
Last Update Date | 26/08/2021 |