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Individual
DR. MICHAEL WARREN BAIN
Active
Individual
DR. MICHAEL WARREN BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
GA LIC 36680
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA LIC 036680
GEORGIA MEDICAL LICENSE
GA
Enumeration date
07/08/2005
Last updated
01/15/2016
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