MEDICARE: EAM CONSULTATION SERVICE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538812581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAM CONSULTATION SERVICE

Provider Business Mailing Address
First Line	:	1907 SIMMONS LN
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-5347
Country	:	US
Telephone Number	:	404-514-1197
Fax Number	:

Provider Business Practice Location Address
First Line	:	1907 SIMMONS LN
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-5347
Country	:	US
Telephone Number	:	404-514-1197
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNERS
Name	:	MS. MERRY JANE WATKINS
Credential	:
Telephone Number	:	404-514-1197

Provider Enumeration Date	:	01/31/2022
Last Update Date	:	02/14/2022

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Directions to “EAM CONSULTATION SERVICE ” Practice Location

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