Healthcare Provider Details

I. General information

NPI: 1174744536
Provider Name (Legal Business Name): EVA MARIA NEMETH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 VILLAGE PKWY NE BUILDING 5, SUITE E
MARIETTA GA
30067-1514
US

IV. Provider business mailing address

141 VILLAGE PKWY NE BUILDING 5, SUITE E
MARIETTA GA
30067-1514
US

V. Phone/Fax

Practice location:
  • Phone: 770-850-0166
  • Fax: 770-850-0010
Mailing address:
  • Phone: 770-850-0166
  • Fax: 770-850-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number036834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: