Individual
DR. MELISSA MCCARTY STATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 OLD MILTON PKWY STE C465, ALPHARETTA, GA 30005-4429
(770) 777-1100
(770) 751-9089
Mailing address
3400-C OLD MILTON PARKWAY, SUITE 465, ALPHARETTA, GA 30005
(770) 777-1100
(770) 751-9089
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
64077
GA
207YP0228X
Pediatric Otolaryngology Physician
Primary
64077
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940625142AA
—
GA
Enumeration date
05/30/2007
Last updated
09/30/2013
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