Theresa Evelyn Mamah, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003910 Issued in GA

Practice address

5673 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1731

Phone

(404) 297-4230

Fax

(404) 252-7255

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1215288923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 GEORGETOWN SQ",
            "address_2": "SUITE 1002",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386254",
            "telephone_number": "770-220-8400",
            "fax_number": "770-234-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421731",
            "telephone_number": "404-297-4230",
            "fax_number": "404-252-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMAH",
        "first_name": "THERESA",
        "middle_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Irene Maloy
• Lindsay Malphrus, RPH, PHARMD
• Kevin Maltusch, DPT
• Aaron Michael Malucci, PA-C
• Laquisha Alaine Malveaux
• Tanyaradzwa Mambo, RPH
• Seyma Ilayda Mamedova
• Aaron Gerald Mammoser, M.D., M.S.
• Lemlem Ashenafi Mamo, MD
• Mushairat Mamun, PA

• Audiologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.