Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0109541017 | VA |
NPI | 1649395674 |
---|---|
Provider Name | Thomas A.e. Platts Mills |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 04/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6028705 | (05) | VA |
B60035 | (02) | VA |