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NPI Code Detail

MEDICARE: MCELHANEY MEDICAL VENTURES, LLC

MEDICARE: MCELHANEY MEDICAL VENTURES, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1750939872
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCELHANEY MEDICAL VENTURES, LLC
Provider Business Mailing Address
First Line : 3225 CUMBERLAND BLVD SE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3225 CUMBERLAND BLVD SE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30339-6408
Country : US
Telephone Number : 770-293-8080
Fax Number : 770-293-8115
Authorized Official
Title or Position : PHYSICIAN
Name : DR. SHAMEKA HUNT MCELHANEY
Credential : MD
Telephone Number : 770-709-8132
Provider Enumeration Date : 09/02/2019
Last Update Date : 01/08/2020

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