Provider Demographics
NPI:1396772893
Name:DOERR, EMMETT JOHN JR (MD)
Entity type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:JOHN
Last Name:DOERR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4030 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3937
Mailing Address - Country:US
Mailing Address - Phone:404-266-2092
Mailing Address - Fax:
Practice Address - Street 1:1670 CLAIRMONT ROAD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-9819
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-728-4839
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA054604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine