Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 033002 | GA |
N | 207RI0200X | Infectious Disease | 27104 | NC |
NPI | 1043326416 |
---|---|
Provider Name | Dr. Melinda Wharton |
First Address | Atlanta, GA 30329-4018 |
Second Address | Atlanta, GA 30033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |