Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 022051 | GA |
NPI | 1386719185 |
---|---|
Provider Name | Howard S Schub |
First Address | Atlanta, GA 30342-1705 |
Second Address | Atlanta, GA 30342-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00243295 | (05) | GA |
D46225 | (02) | GA |