Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | DR.0053858 | CO |
N | 2080P0204X | Pediatric Emergency Doctor | DR.0053858 | CO |
NPI | 1164712568 |
---|---|
Provider Name | Neil Daniel Cella |
First Address | Atlanta, GA 30303-3049 |
Second Address | Atlanta, GA 30322-1059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 05/02/2016 |