Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN211468 | GA |
NPI | 1003169509 |
---|---|
Provider Name | Mrs. Anne Compton Symbas |
First Address | Atlanta, GA 30318-2538 |
Second Address | Atlanta, GA 30318-2538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2012 |
Last Update Date | 26/09/2017 |