Mefferd, Paul L
Mefferd, Paul L is an individual health care provider with primary practice located at 790 Church St Ne Suite 550, Marietta GA 30060-7282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Mefferd, Paul L can be contacted via phone (770) 419-9902.Contact Information
Primary practice address
790 Church St Ne Suite 550
Marietta GA 30060-7282
Phone: (770) 419-9902
Fax: (770) 419-7457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 054617 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 054617 | Georgia |
Profile Details
| NPI number | 1376755538 |
|---|---|
| LBN Legal business name | Mefferd, Paul L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376755538 | NPPES |
| Georgia | MEDICAID | 003141012A | |
| Georgia | Other | 1710946322 |
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