Individual
DR. ERIC ALLAN SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(404) 372-4284
Mailing address
1519 CALIBRE WOODS DR NE, ATLANTA, GA 30329-3963
(404) 372-4284
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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