MEDICARE: DR. MEREDITH LYNN MCMORROW MD, MPH

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	208000000X	Pediatrics Physician	058711	GA
2	208000000X	Pediatrics Physician	35-08-1841-M	OH

General Provider Information

NPI Number	:	1285794115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEREDITH LYNN MCMORROW MD, MPH

Provider Business Mailing Address
First Line	:	4770 BUFORD HWY MSC F-22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-3717
Country	:	US
Telephone Number	:	770-488-7782
Fax Number	:	770-488-4206

Provider Business Practice Location Address
First Line	:	4770 BUFORD HWY MSC F-22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-3717
Country	:	US
Telephone Number	:	770-488-7782
Fax Number	:	770-488-4206

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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