Healthcare Provider Details

I. General information

NPI: 1477083343
Provider Name (Legal Business Name): MARIA MICAELA SCHACHTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA MICAELA FERREYRA

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

12 EXECUTIVE PARK DR NE STE 142
ATLANTA GA
30329-2206
US

V. Phone/Fax

Practice location:
  • Phone: 470-788-1010
  • Fax:
Mailing address:
  • Phone: 404-778-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number92076
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number92076
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125071197
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: