Healthcare Provider Details

I. General information

NPI: 1568449478
Provider Name (Legal Business Name): ERNEST LEE HOWARD II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 BOULEVARD NE SUITE 432
ATLANTA GA
30312-1200
US

IV. Provider business mailing address

2450 ATLANTA HWY STE 904
CUMMING GA
30040-1252
US

V. Phone/Fax

Practice location:
  • Phone: 404-659-5909
  • Fax: 770-399-9449
Mailing address:
  • Phone: 404-659-5909
  • Fax: 770-399-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number029003
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: