Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M8020 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | 68817 | GA |
N | 2080P0205X | Pediatric Endocrinologist | M8020 | TX |
N | 2080P0205X | Pediatric Endocrinologist | MD421498 | PA |
NPI | 1023033222 |
---|---|
Provider Name | Jee-Young Nina Ham |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 25/07/2014 |