1477905586 NPI number — DR. KARRAH SHELBY MILCHECK PHARMD

Table of content: DR. KARRAH SHELBY MILCHECK PHARMD (NPI 1477905586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477905586 NPI number — DR. KARRAH SHELBY MILCHECK PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILCHECK
Provider First Name:
KARRAH
Provider Middle Name:
SHELBY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRIGMAN
Provider Other First Name:
KARRAH
Provider Other Middle Name:
SHELBY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477905586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 DELK RD SE
Provider Second Line Business Mailing Address:
STE 1150
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30067-5320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 DELK RD SE
Provider Second Line Business Practice Location Address:
STE 1150
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30067-5320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-612-5155
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH029243 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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