Provider Demographics
NPI:1346687878
Name:MCLOUGHLIN, EMMA B (PA-C)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:B
Last Name:MCLOUGHLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:J
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 HOWELL MILL RD.
Mailing Address - Street 2:SUITE 785
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318
Mailing Address - Country:US
Mailing Address - Phone:404-425-1380
Mailing Address - Fax:
Practice Address - Street 1:1800 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 785
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318
Practice Address - Country:US
Practice Address - Phone:404-425-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant