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NPI Code Detail

MEDICARE: MERIDITH NICOLE DLOUGHY CNIM

MEDICARE: MERIDITH NICOLE DLOUGHY CNIM
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist976

General Provider Information

NPI Number : 1801427547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERIDITH NICOLE DLOUGHY CNIM
Provider Business Mailing Address
First Line : 1625 VINERY LN SE
Second Line :
City : MABLETON
State : GA
Zip : 30126-5762
Country : US
Telephone Number : 404-901-7797
Fax Number :
Provider Business Practice Location Address
First Line : 3284 NORTHSIDE PKWY NW STE 600
Second Line :
City : ATLANTA
State : GA
Zip : 30327-2282
Country : US
Telephone Number : 404-901-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2020
Last Update Date : 12/29/2020

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