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Organization
ACWORTH PULMONARY AND SLEEP LLC
Active
Organization
ACWORTH PULMONARY AND SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID WALDMAN MD (PHYSICIAN)
(678) 361-4848
Entity
Organization
Contact information
Practice address
4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
(678) 361-4848
Mailing address
4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
(678) 361-4848
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
048833
GA
207RP1001X
Pulmonary Disease Physician
Primary
048833
GA
Other
Enumeration date
12/31/2010
Last updated
01/07/2011
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