Michael Anthony Avidano in Stockbridge - Otolaryngology
Michael Anthony Avidano - NPI 1780680462
Michael Anthony Avidano is a Otolaryngology in Stockbridge, Georgia. Michael Anthony Avidano practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Michael Anthony Avidano is 1780680462. The last update date is 2010-01-04.
Michael Anthony Avidano's current location address is 1101 Hospital Dr, Stockbridge, Georgia. You can contact this provider via phone number 7704747416 and fax number 7703896210. The mailing address for Michael Anthony Avidano is 1101 Hospital Dr, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Anthony Avidano |
|---|---|
| Address | 1101 Hospital Dr, Stockbridge, Georgia |
| Phone Number | 7704747416 |
| Fax Number | 7703896210 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780680462 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | 1101 Hospital Dr |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302819075 |
| Phone Number | 7704747416 |
| Fax Number | 7703896210 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 39722 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 674726 | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Anthony Avidano by the Centers for Medicare & Medicaid Services?
The Michael Anthony Avidano has been issued the NPI (National Provider Identifier) 1780680462, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael Anthony Avidano is physically located?
The Michael Anthony Avidano is physically situated at the following address: 1101 Hospital Dr, Stockbridge, GA, 302819075.
What is Michael Anthony Avidano's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Anthony Avidano's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
When was the Michael Anthony Avidano's 1780680462 issued?
The Michael Anthony Avidano's 1780680462 was issued on 2005-06-27.
When was the Michael Anthony Avidano's information last updated?
The Michael Anthony Avidano's information was last updated on 2010-01-04.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN