Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 72456 | GA |
NPI | 1396906368 |
---|---|
Provider Name | Sarah Michelle Szlam |
First Address | Atlanta, GA 30342-9002 |
Second Address | Atlanta, GA 30342-1605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2008 |
Last Update Date | 30/10/2014 |