Provider Demographics
NPI:1235298779
Name:DUNBAR, ERIN MCQUONE (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MCQUONE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102321
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-2321
Mailing Address - Country:US
Mailing Address - Phone:404-605-2050
Mailing Address - Fax:404-355-8421
Practice Address - Street 1:2001 PEACHTREE RD NE
Practice Address - Street 2:SUITE 645
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1476
Practice Address - Country:US
Practice Address - Phone:404-605-2050
Practice Address - Fax:404-355-8421
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88466207RX0202X
GA070550207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278378900Medicaid
GA003136914AMedicaid
GA202I833671Medicare Oscar/Certification
FL278378900Medicaid