Individual
CHARMAINE I. EMELIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 CLEVELAND AVENUE, EAST POINT, GA 30344
(404) 761-0819
(404) 761-0819
Mailing address
1275 CLEVELAND AVE, EAST POINT, GA 30344-3433
(404) 761-0819
(404) 761-0819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
054486
GA
207RN0300X
Nephrology Physician
Primary
054486
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157444445A
—
GA
Enumeration date
10/26/2005
Last updated
10/23/2019
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