Mickelson, Samuel A

Mickelson, Samuel A is an individual health care provider with primary practice located at 960 Johnson Ferry Rd Suite 200, Atlanta GA 30342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Mickelson, Samuel A can be contacted via phone (404) 943-0900.

Contact Information

Primary practice address
960 Johnson Ferry Rd Suite 200 Atlanta GA 30342
Phone: (404) 943-0900
Fax: (404) 943-1390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 041173 Georgia
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 041173 Georgia

Profile Details

NPI number 1467410977
LBN Legal business name Mickelson, Samuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 23rd, 2008 - about 16 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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