Healthcare Provider Details

I. General information

NPI: 1659998409
Provider Name (Legal Business Name): MEREDITH DENISE ARRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2020
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W HILL ST STE 111
DECATUR GA
30030-4368
US

IV. Provider business mailing address

317 W HILL ST STE 111
DECATUR GA
30030-4368
US

V. Phone/Fax

Practice location:
  • Phone: 404-371-9838
  • Fax: 404-371-9842
Mailing address:
  • Phone: 404-371-9838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number112892
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: