Healthcare Provider Details

I. General information

NPI: 1952540239
Provider Name (Legal Business Name): ROLF W MEINHOLD MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 ABBEY CT THE OFFICES @ CRABAPPLE VILLAGE
ALPHARETTA GA
30004-6024
US

IV. Provider business mailing address

2702 ABBEY CT THE OFFICES @ CRABAPPLE VILLAGE
ALPHARETTA GA
30004-6024
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-9195
  • Fax: 770-772-4088
Mailing address:
  • Phone: 770-772-9195
  • Fax: 770-772-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROLF WALTER MEINHOLD
Title or Position: PRESIDENT
Credential: MD
Phone: 770-772-9195