Atlanta Vanguard Medical Associates Pc

NPI 1164773164 - Internal Medicine - 207R00000X

NPI Details
NPI 1164773164
Enumeration Date 10/01/2012
Last Updated 01/25/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL T. MICHAEL
Position OWNER
Phone (678) 305-1700
Fax (678) 766-1744
Practice Location
3692 HIGHLANDS PKWY SE
SMYRNA GA, 30082-5184, US
Phone (678) 305-1700
Fax (678) 766-1744
Business Location
3692 HIGHLANDS PKWY SE
SMYRNA GA, 30082-5184, US
Phone (678) 305-1700
Fax (678) 766-1744
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Atlanta Vanguard Medical Associates Pc NPI is 1164773164, taxonomy code is 207R00000X Atlanta Vanguard Medical Associates Pc physically located at 3692 Highlands Pkwy Se, Smyrna GA, 30082-5184. NPI Number 1033115704 has the healthcare provider type.

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1164773164 NPI number is provided on an as is basis without warranty of any kind. 1164773164 is maintained by the National Plan & Provider Enumeration System. The contents of Atlanta Vanguard Medical Associates Pc are for informational purposes only.