Basic Information
Provider Information
NPI: 1518902873
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEGLI
FirstName: JOEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 52007
Address2:  
City: ATLANTA
State: GA
PostalCode: 303550007
CountryCode: US
TelephoneNumber: 6783970060
FaxNumber: 6783970065
Practice Location
Address1: 5671 PEACHTREE DUNWOODY RD NE
Address2: STE 275
City: ATLANTA
State: GA
PostalCode: 303425000
CountryCode: US
TelephoneNumber: 4048517990
FaxNumber: 4048514969
Other Information
ProviderEnumerationDate: 06/19/2006
LastUpdateDate: 11/04/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X049244GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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