Samuel A Mickelson in Atlanta - Otolaryngology
Samuel A Mickelson - NPI 1467410977
Samuel A Mickelson is a Otolaryngology in Atlanta, Georgia. Samuel A Mickelson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Samuel A Mickelson is 1467410977. The last update date is 2008-05-23.
Samuel A Mickelson's current location address is 960 Johnson Ferry Rd, Atlanta, Georgia. You can contact this provider via phone number 4049430900 and fax number 4049431390. The mailing address for Samuel A Mickelson is 960 Johnson Ferry Rd, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel A Mickelson |
|---|---|
| Address | 960 Johnson Ferry Rd, Atlanta, Georgia |
| Phone Number | 4049430900 |
| Fax Number | 4049431390 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467410977 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2008-05-23 |
Provider Mailing Address Detail
| Address | 960 Johnson Ferry Rd |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30342 |
| Phone Number | 4049430900 |
| Fax Number | 4049431390 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 41173 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique 10-digit identifier code assigned to Samuel A Mickelson by the Centers for Medicare & Medicaid Services?
The Samuel A Mickelson has been issued the NPI (National Provider Identifier) 1467410977 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Samuel A Mickelson?
The Samuel A Mickelson is situated at 960 Johnson Ferry Rd, in the city of Atlanta, state of GA, with the zip code 30342.
What is the Samuel A Mickelson's area of specialization and corresponding taxonomy classification?
The Samuel A Mickelson's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Samuel A Mickelson receive the assignment of its 1467410977 from the Centers for Medicare & Medicaid Services?
The Samuel A Mickelson was issued its 1467410977 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details related to Samuel A Mickelson most recently updated or revised?
The information pertaining to Samuel A Mickelson, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-23.
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