Most Relevant Information
Provider Data
| NPI Number: | 1003264896 |
| Provider Name: | GA HIE NAM M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | LP03729 |
Most Important Dates
| Enumeration Date: | 06/02/2016 |
| Last Updated: | 06/02/2016 |
Provider Practice Location
593 EDDY ST
PROVIDENCE
RI
029034923
Practice Location Phone/Fax
| Phone: | 4014445057 |
| Fax: | 4014448514 |
Provider Mailing Location
593 EDDY ST
PROVIDENCE
RI
029034923
Provider Mailing Phone/Fax
| Phone: | 4014445057 |
| Fax: | 4014448514 |