Individual
MEREDITH ANNE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, MEDICAL OFFICE TOWER, SUITE 1135, ATLANTA, GA 30308-1225
(404) 727-6123
Mailing address
550 PEACHTREE ST. NE, MEDICAL OFFICE TOWER, SUITE 1135, ATLANTA, GA 30308-1225
(773) 621-8051
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
10215
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
95219
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
07/08/2023
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