Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 053153 | GA |
N | 207YP0228X | Pediatric Otolaryngology | 053153 | GA |
NPI | 1972591899 |
---|---|
Provider Name | Phillip R Say |
First Address | Suwanee, GA 30024-6048 |
Second Address | Suwanee, GA 30024-6048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 18/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
921288810B | (05) | GA |
921288810G | (05) | GA |
H87174 | (02) |