Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 059495 | GA |
Y | 207RH0002X | Hospice and Palliative Medicine | 059495 | GA |
NPI | 1114144615 |
---|---|
Provider Name | Steven Thomas Prior |
First Address | Atlanta, GA 30305 |
Second Address | Atlanta, GA 30339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 25/11/2013 |