MEDICARE: MELINDA MILLER-THRASHER 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	174400000X	Specialist	032617	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811989965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA MILLER-THRASHER M.D.

Provider Business Mailing Address
First Line	:	3200 HIGHLANDS PKWY SE STE 420
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-5192
Country	:	US
Telephone Number	:	678-424-1123
Fax Number	:	678-424-1127

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUITE 1470
City	:	ATLANTA
State	:	GA
Zip	:	30308-2242
Country	:	US
Telephone Number	:	404-281-2961
Fax Number	:	404-691-8217

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	04/29/2020

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Directions to “ MELINDA MILLER-THRASHER M.D.” Practice Location

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