MEDICARE: DR. NORMAN WENDELL TODD JR. M.D., M.P.H.

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
1	207YP0228X	Pediatric Otolaryngology Physician	13313	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN WENDELL TODD JR. M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1365A CLIFTON RD NE
Second Line	:	EMORY UNIVERSITY, DEPARTMENT OF OTOLARYNGOLOGY
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-727-1368
Fax Number	:	404-727-7996

Provider Business Practice Location Address
First Line	:	1365A CLIFTON RD NE
Second Line	:	EMORY UNIVERSITY, DEPARTMENT OF OTOLARYNGOLOGY
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-727-1368
Fax Number	:	404-727-7996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	03/07/2023

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