MEDICARE: DR. MONICA ELIZABETH PARISE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	042384	GA

General Provider Information

NPI Number	:	1083617401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA ELIZABETH PARISE M.D.

Provider Business Mailing Address
First Line	:	2985 LONE STAR TRL
Second Line	:
City	:	DORAVILLE
State	:	GA
Zip	:	30340-5021
Country	:	US
Telephone Number	:	770-488-7786
Fax Number	:	770-488-4206

Provider Business Practice Location Address
First Line	:	4770 BUFORD HWY
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-3717
Country	:	US
Telephone Number	:	770-488-7786
Fax Number	:	770-488-4206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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