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NPI Code Detail

MEDICARE: MS. CHISHA MERCER

MEDICARE: MS. CHISHA MERCER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1023568599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHISHA MERCER
Provider Business Mailing Address
First Line : 2010 ROSWELL RD APT 21B7
Second Line :
City : MARIETTA
State : GA
Zip : 30068-3062
Country : US
Telephone Number : 678-373-7565
Fax Number :
Provider Business Practice Location Address
First Line : 270 CARPENTER DR STE 400
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-4933
Country : US
Telephone Number : 678-460-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2016
Last Update Date : 10/10/2016

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Directions to “ MS. CHISHA MERCER ” Practice Location

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