Provider Demographics
NPI:1548420177
Name:HARRINGTON, THERESA ANNE (MD, MPH&TM)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANNE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:MD, MPH&TM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 CLIFTON RD NE
Mailing Address - Street 2:MAILSTOP D-26
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4018
Mailing Address - Country:US
Mailing Address - Phone:404-639-2877
Mailing Address - Fax:404-498-0666
Practice Address - Street 1:3367 BUFORD HWY NE
Practice Address - Street 2:SUITE 910
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-1709
Practice Address - Country:US
Practice Address - Phone:678-843-8700
Practice Address - Fax:404-633-0502
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK2032207R00000X, 208000000X
GA055594207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics