Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 038600 | GA |
N | 207V00000X | Obstetrician & Gynecologist | 038600 | GA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 038600 | GA |
N | 208200000X | Surgeon | 038600 | GA |
N | 208600000X | Surgeon | 038600 | GA |
Y | 208D00000X | General Practice Physician | 038600 | GA |
NPI | 1205002946 |
---|---|
Provider Name | John Yolman Salinas |
First Address | Atlanta, GA 30360-2825 |
Second Address | Norcross, GA 30093-1517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 10/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F83637 | (02) | GA |