Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 037057 | GA |
NPI | 1023084258 |
---|---|
Provider Name | Mr. Daniel D Rhoads |
First Address | Atlanta, GA 30374-2616 |
Second Address | Gainesville, GA 30501-3822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 18/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000542198J | (05) | GA |
37057 | STATE LICENSE (01) | GA |
BR3657446 | DEA (01) | GA |
F56986 | (02) | GA |