Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35064638G | OH |
NPI | 1306845177 |
---|---|
Provider Name | William Glenn Littlefield |
First Address | Cumming, GA 30041-7623 |
Second Address | Cumming, GA 30041-7623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 06/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003115971 | (05) | GA |