Healthcare Provider Details
I. General information
NPI: 1427199058
Provider Name (Legal Business Name): GUY MEAD MCKHANN II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/08/2007
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
THE EMORY CLINIC 1365 CLIFTON RD NE CLINIC/BUILDING B 2ND FLOOR STE 2200
ATLANTA GA
30322-0001
US
IV. Provider business mailing address
THE EMORY CLINIC 1365 CLIFTON RD NE CLINIC/BUILDING B 6TH FLOOR STE 6200, RM 6172
ATLANTA GA
30322-0001
US
V. Phone/Fax
- Phone: 404-778-5770
- Fax: 404-778-3279
- Phone: 404-778-3895
- Fax: 404-778-4472
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | 212708 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | 114261 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: