Provider Demographics
NPI:1730191594
Name:MERMIN, MARGARET NORTH (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:NORTH
Last Name:MERMIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1800 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2538
Mailing Address - Country:US
Mailing Address - Phone:404-607-1777
Mailing Address - Fax:404-607-1799
Practice Address - Street 1:1800 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 175
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2538
Practice Address - Country:US
Practice Address - Phone:404-607-1777
Practice Address - Fax:404-607-1799
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2012-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA021760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00216158AMedicaid
GA00216158AMedicaid