Provider Demographics
NPI:1609108158
Name:MERATI, K ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:K
Middle Name:ANTHONY
Last Name:MERATI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 HISTORIC HOMER HWY
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:GA
Mailing Address - Zip Code:30547-2738
Mailing Address - Country:US
Mailing Address - Phone:706-677-1010
Mailing Address - Fax:770-677-1010
Practice Address - Street 1:1253 HISTORIC HOMER HWY
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:GA
Practice Address - Zip Code:30547-2738
Practice Address - Country:US
Practice Address - Phone:706-667-1010
Practice Address - Fax:706-667-1010
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008616111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I352256Medicare PIN