Healthcare Provider Details

I. General information

NPI: 1194786947
Provider Name (Legal Business Name): EYAL MEIRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 130
ATLANTA GA
30318-0916
US

IV. Provider business mailing address

600 CELEBRATE LIFE PKWY
NEWNAN GA
30265-8001
US

V. Phone/Fax

Practice location:
  • Phone: 404-425-1777
  • Fax:
Mailing address:
  • Phone: 700-400-6037
  • Fax: 770-400-6841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number070324
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: