Provider Demographics
NPI:1982221693
Name:NORTH FULTON MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:NORTH FULTON MEDICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON-WAITS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:404-384-5637
Mailing Address - Street 1:3162 JOHNSON FERRY RD STE 260-425
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-7604
Mailing Address - Country:US
Mailing Address - Phone:404-384-5637
Mailing Address - Fax:770-640-9013
Practice Address - Street 1:3162 JOHNSON FERRY RD STE 260-425
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-7604
Practice Address - Country:US
Practice Address - Phone:404-384-5637
Practice Address - Fax:770-640-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care