Basic Information
Provider Information
NPI: 1003077033
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DESCHLER
FirstName: EMILY
MiddleName: KING
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3495 PIEDMONT RD NE
Address2: NINE PIEDMONT CENTER
City: ATLANTA
State: GA
PostalCode: 303051717
CountryCode: US
TelephoneNumber: 4045045678
FaxNumber: 6142933555
Practice Location
Address1: 2400 MOUNT ZION PKWY
Address2: KRUISER PERMANENTE SOUTHWOOD MEDICAL CENTER
City: JONESBORO
State: GA
PostalCode: 302362500
CountryCode: US
TelephoneNumber: 6142938116
FaxNumber: 6142933555
Other Information
ProviderEnumerationDate: 06/23/2008
LastUpdateDate: 01/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X35124552OHN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000XD0075247MDN Allopathic & Osteopathic PhysiciansOphthalmology 
207W00000X075050GAY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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