Statham, Melissa Mccarty

Statham, Melissa Mccarty is an individual health care provider with primary practice located at 3400 Old Milton Pkwy Ste C465 , Alpharetta GA 30005-4429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. Statham, Melissa Mccarty can be contacted via phone (770) 777-1100.

Contact Information

Primary practice address
3400 Old Milton Pkwy Ste C465 Alpharetta GA 30005-4429
Fax: (770) 751-9089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 64077 Georgia
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 64077 Georgia

Profile Details

NPI number 1154522944
LBN Legal business name Statham, Melissa Mccarty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Sep 30th, 2013 - about 11 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 1154522944 NPPES
Georgia MEDICAID 940625142AA

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