Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | RN239767 | GA |
NPI | 1629587654 |
---|---|
Provider Name | Mrs. Lindsey Mccutchen Howard |
First Address | Atlanta, GA 30318-7808 |
Second Address | Atlanta, GA 30303-3032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 21/09/2017 |