MEDICARE: DR. ERIN JEAN MCCARTY M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	4301103195	MI
2	208100000X	Physical Medicine & Rehabilitation Physician	77685	GA

General Provider Information

NPI Number	:	1487093357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN JEAN MCCARTY M.D.

Provider Business Mailing Address
First Line	:	1441 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1004
Country	:	US
Telephone Number	:	616-292-4270
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 NORTH AVE NE APT 2413
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4429
Country	:	US
Telephone Number	:	616-292-4270
Fax Number	:

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

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	02/19/2020

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