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
01 (GA)
11D1096390
CLIA
01 (GA)
202G708768
MEDICARE PTAN
05 (GA)
300027669B
01 (GA)
DQ2362
RR MCR
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
CurePoint
Type code 3recorded 2011-10-19
Practice context
Single-site organization. Only one practice location on file.
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