Emelife, Charmaine I.

Emelife, Charmaine I. is an individual health care provider with primary practice located at 1275 Cleveland Avenue , East Point GA 30344. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Emelife, Charmaine I. can be contacted via phone (404) 761-0819.

Contact Information

Primary practice address
1275 Cleveland Avenue East Point GA 30344
Phone: (404) 761-0819
Fax: (404) 761-0819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 054486 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 054486 Georgia

Profile Details

NPI number 1811987209
LBN Legal business name Emelife, Charmaine I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Oct 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811987209 NPPES
Georgia MEDICAID 157444445A

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