Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | RN193674 | GA |
NPI | 1205587185 |
---|---|
Provider Name | Rachel Sterling |
First Address | Roswell, GA 30076-2309 |
Second Address | Atlanta, GA 30342-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2022 |
Last Update Date | 12/01/2022 |