Provider Information for 1316247620
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
AUDREY MEAH
Sex: Female
NPI: 1316247620
Last Updated: 2021-06-14
Certification Date: 2021-06-14
Certification Date: 2021-06-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316247620 | ||||||||
| Enumeration Date | 2010-11-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15117 SKYLINE LN NE ATLANTA, GA 30345-7911 United States Phone: 313-657-7612 | Fax: | ||||||||
| Primary Practice Address | 15117 SKYLINE LN NE ATLANTA, GA 30345-7911 United States Phone: 313-657-7612 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|