Provider Demographics
NPI:1285976951
Name:INGRAM, MEREDITH M (PA-C)
Entity type:Individual
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First Name:MEREDITH
Middle Name:M
Last Name:INGRAM
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5210
Mailing Address - Country:US
Mailing Address - Phone:678-206-2589
Mailing Address - Fax:678-261-1713
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-686-2513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2019-05-24
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
GA006763363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant