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Contact Information

MELISSA M STATHAM, MD
3400 OLD MILTON PKWY STE C465
ALPHARETTA, GA30005-4429
 Phone: 770-777-1100
 Fax: 770-751-9089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MELISSA M STATHAM · (Female)

NPI Number 1154522944
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2007
Last updated 09/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 64077
  • GA Medicaid 940625142AA
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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