Avidano, Michael Anthony

Avidano, Michael Anthony is an individual health care provider with primary practice located at 1101 Hospital Dr Ste 100A, Stockbridge GA 30281-9076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Avidano, Michael Anthony can be contacted via phone (770) 474-7416.

Contact Information

Primary practice address
1101 Hospital Dr Ste 100A Stockbridge GA 30281-9076
Phone: (770) 474-7416
Fax: (770) 389-6210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 039722 Georgia

Profile Details

NPI number 1780680462
LBN Legal business name Avidano, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jan 4th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780680462 NPPES
Georgia MEDICAID 000674726

Popular Providers