Doctor Name: | MR. DAVID F. SIEGEL |
NPI Number: | 1215261235 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | 002762 |
Business Practice Address: | 4351 Bishop Hollow Ct Dunwoody, GA - 303386106 |
Business Phone Number: | 7703529999 |
Business Fax Number: | 7703526869 |
Mailing Address: | 4351 Bishop Hollow Court, DUNWOODY |
State: | GA |
Postal Code: | 303386106 |
Phone Number: | 7703529999 |
Fax Number: | 7703526869 |
NPI Enumeration Date: | 09/23/2009 |
NPI Last Update Date: | 09/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 002762 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |