Kizziah, Michael K
Kizziah, Michael K is an individual health care provider with primary practice located at 255 W 5Th St Sw Suite 150, Rome GA 30165-2817. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kizziah, Michael K can be contacted via phone (706) 232-1545.Contact Information
Primary practice address
255 W 5Th St Sw Suite 150
Rome GA 30165-2817
Phone: (706) 232-1545
Fax: (706) 232-3819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 27944 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 065694 | Georgia |
Profile Details
| NPI number | 1124108923 |
|---|---|
| LBN Legal business name | Kizziah, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Nov 9th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124108923 | NPPES |
| Georgia | MEDICAID | 003123794B | |
| Georgia | MEDICAID | 279442 |
Popular Providers
-
Brewster, Edward W
1104 Martha Berry Blvd Ne , Rome GA 30165-1612 -
Hulsey, Joe Maxwell
901 N Broad St Ne , Rome GA 30161-5207 -
Black, Damon A.
901 N Broad St Ne Suite 220, Rome GA 30161-5207 -
Gober, Daniel
901 N Broad St Ne Suite 220, Rome GA 30161-5201 -
Hanks, J. Daniel
1104 Martha Berry Blvd Ne , Rome GA 30165-1612 -
Harbin, William P
901 N Broad St Ne Suite 220, Rome GA 30161-5207 -
Holcombe, Michael Paul
901 N Broad St Ne Suite 220, Rome GA 30161-5207 -
Farmer, Thomas Hackney R.
1104 Martha Berry Blvd Ne , Rome GA 30165-1612