Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 031857 | GA |
NPI | 1235186636 |
---|---|
Provider Name | Robert E Windsor |
First Address | Marietta, GA 30067 |
Second Address | Marietta, GA 30067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 22/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000476968I | (05) | GA |
000476968J | (05) | GA |
000476968K | (05) | GA |
000476968L | (05) | GA |
0070787 | (05) | OH |
C23662 | (02) |