Search › Georgia › 207Q00000X
Miriam Gwathney, DO
NPI 1881698546 · on the registry since 2005
Practice
- Address
- 1057 Main St
Forest Park, GA 30297 - Phone
- (404) 301-4555
- Fax
- (404) 301-4482
- Organisation at this address
- Pmr Georgia Holding, Llc
Crisp & Associates Iii, Llc
C & W Durable Medical Equipment
Christians Medical Equipment & Supplies Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia