Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 034734 | GA |
NPI | 1245265453 |
---|---|
Provider Name | Quentin L Vanmeter |
First Address | Atlanta, GA 30318-2538 |
Second Address | Atlanta, GA 30318-2538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 04/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000468234G | (05) | GA |
E78994 | (02) |