Provider Demographics
NPI:1235211442
Name:ROTHMAN, PAULA ABBY (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:ABBY
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7141 HUNTERS BRANCH CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-1709
Mailing Address - Country:US
Mailing Address - Phone:770-512-7550
Mailing Address - Fax:
Practice Address - Street 1:7141 HUNTERS BRANCH CT NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-1709
Practice Address - Country:US
Practice Address - Phone:770-512-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031498207VE0102X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00464043CMedicaid
16BDDVQMedicare ID - Type Unspecified
GA00464043CMedicaid