MEDICARE: MARY ELIZABETH RAMSEY

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	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	0101262893	VA
2	2084N0400X	Neurology Physician	0101262893	VA

General Provider Information

NPI Number	:	1649513037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH RAMSEY

Provider Business Mailing Address
First Line	:	PO BOX 742921
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7607 FOREST AVE STE 300
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4913
Country	:	US
Telephone Number	:	804-288-2742
Fax Number	:

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

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	07/21/2021

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