Doctor Name: | CORINNE L. ERICKSON |
NPI Number: | 1134321037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 065765 |
Business Practice Address: | 5505 Peachtree Dunwoody Rd Suite 412 Atlanta, GA - 303421705 |
Business Phone Number: | 4044599177 |
Business Fax Number: | 4043890400 |
Mailing Address: | 5505 Peachtree Dunwoody Rd, Suite 412 ATLANTA |
State: | GA |
Postal Code: | 303421705 |
Phone Number: | 4044599177 |
Fax Number: | 4043890400 |
NPI Enumeration Date: | 06/03/2007 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 065765 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |