1417669979 NPI number — KARMECIA L'AIME DELOACH M.ED/ST

Table of content: KARMECIA L'AIME DELOACH M.ED/ST (NPI 1417669979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417669979 NPI number — KARMECIA L'AIME DELOACH M.ED/ST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELOACH
Provider First Name:
KARMECIA
Provider Middle Name:
L'AIME
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.ED/ST
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:
1417669979
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 STALWICK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POOLER
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31322-8254
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-741-6576
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6944 HIGHWAY 85 STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERDALE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30274-2960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-683-6946
Provider Business Practice Location Address Fax Number:
770-683-6946
Provider Enumeration Date:
12/15/2022

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: 101YM0800X , with the licence number:  APC009547 , 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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