Fundora, Michael Phillip

Fundora, Michael Phillip is an individual health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Fundora, Michael Phillip can be contacted via phone (404) 785-5437.

Contact Information

Primary practice address
1405 Clifton Rd Ne Atlanta GA 30322
Phone: (404) 785-5437
Fax: (404) 252-7431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 269973 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN16214 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 82395 Georgia

Profile Details

NPI number 1770846149
LBN Legal business name Fundora, Michael Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Jan 22nd, 2021 - about 3 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.

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