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
Phone: (770) 777-1100
Fax: (770) 751-9089
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1154522944 | NPPES |
| Georgia | MEDICAID | 940625142AA |
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