Provider Demographics
NPI:1639244908
Name:MATEO, ELAINE F (MD PC)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:F
Last Name:MATEO
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Gender:F
Credentials:MD PC
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Mailing Address - Street 1:5555 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1703
Mailing Address - Country:US
Mailing Address - Phone:404-448-3394
Mailing Address - Fax:404-256-8227
Practice Address - Street 1:5555 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 330
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1703
Practice Address - Country:US
Practice Address - Phone:404-448-3394
Practice Address - Fax:404-256-8227
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2014-12-23
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Provider Licenses
StateLicense IDTaxonomies
GA0359492084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry