Provider Demographics
NPI:1245265453
Name:VANMETER, QUENTIN L (MD)
Entity type:Individual
Prefix:
First Name:QUENTIN
Middle Name:L
Last Name:VANMETER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 HOWELL MILL ROAD NW
Mailing Address - Street 2:SUITE 475
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2538
Mailing Address - Country:US
Mailing Address - Phone:678-961-2100
Mailing Address - Fax:678-961-2107
Practice Address - Street 1:1800 HOWELL MILL ROAD NW
Practice Address - Street 2:SUITE 475
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2538
Practice Address - Country:US
Practice Address - Phone:678-961-2100
Practice Address - Fax:678-961-2107
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0347342080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000468234GMedicaid
E78994Medicare UPIN