1154522944 NPI number — DR. MELISSA MCCARTY STATHAM MD

Table of content: DR. MELISSA MCCARTY STATHAM MD (NPI 1154522944)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154522944 NPI number — DR. MELISSA MCCARTY STATHAM MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STATHAM
Provider First Name:
MELISSA
Provider Middle Name:
MCCARTY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154522944
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3400-C OLD MILTON PARKWAY
Provider Second Line Business Mailing Address:
SUITE 465
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-777-1100
Provider Business Mailing Address Fax Number:
770-751-9089

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3400 OLD MILTON PKWY STE C465
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30005-4429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-777-1100
Provider Business Practice Location Address Fax Number:
770-751-9089
Provider Enumeration Date:
05/30/2007

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: 207Y00000X , with the licence number:  64077 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207YP0228X , with the licence number: 64077 , 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)

  • Identifier: 940625142AA , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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