Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 1-010542 | AL |
NPI | 1003895145 |
---|---|
Provider Name | Patricia K Mugnier |
First Address | Atlanta, GA 31193-0001 |
Second Address | Mobile, AL 36607-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R15950 | (02) | AL |