Provider Demographics
NPI:1083783690
Name:TEPPER, NAOMI K (MD, MPH)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:K
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:L
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4770 BUFORD HWY
Mailing Address - Street 2:MS K-34
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3717
Mailing Address - Country:US
Mailing Address - Phone:770-488-6506
Mailing Address - Fax:
Practice Address - Street 1:4770 BUFORD HWY
Practice Address - Street 2:MS K-34
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-3717
Practice Address - Country:US
Practice Address - Phone:770-488-6506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236360207V00000X
GA058610207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology