Healthcare Provider Details

I. General information

NPI: 1275990467
Provider Name (Legal Business Name): ERIN ELIZABETH PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 01/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 PEACHTREE DUNWOODY RD SUITE 125
ATLANTA GA
30328-6773
US

IV. Provider business mailing address

200 CROLLS MILL RD
SLIPPERY ROCK PA
16057-4614
US

V. Phone/Fax

Practice location:
  • Phone: 866-587-9922
  • Fax:
Mailing address:
  • Phone: 724-421-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberYM014227
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: