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1760179758
MATT MCMICHAEL
ATLANTA, GA
NPI
1760179758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: GA 167967)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
MATT MCMICHAEL CSFA
5445 MERIDIAN MARK RD STE 100
ATLANTA, GA 30342-4755
Phone number: 404-459-1875
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Mailing Address
MATT MCMICHAEL CSFA
1182 OLD PENDERGRASS RD
JEFFERSON, GA 30549-2763
Phone number: 541-525-2829
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