# ACWORTH PULMONARY AND SLEEP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821392101
- **Authorized official:** DR. MICHAEL DAVID WALDMAN MD (PHYSICIAN)
- **Authorized official phone:** (678) 361-4848

## Contact information

- **Practice address:** 4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
- **Practice address phone:** (678) 361-4848
- **Mailing address:** 4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
- **Mailing address phone:** (678) 361-4848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 048833 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 048833 | GA | Yes |

## Other

- **Enumeration date:** 12/31/2010
- **Last updated:** 01/07/2011