An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
taxonomy 174400000X
Identifiers
Type
Value
Notes
05 (GA)
300038888A
01 (GA)
202G708768
MEDICARE PTAN
01 (GA)
DQ2362
RR MCR
01 (GA)
11D1096814
CLIA
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
CurePoint
Type code 3recorded 2011-10-19
Practice context
Multi-provider organization.
13 individual providers on file at this primary address.
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