Individual
MICHAEL KEITH LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2918 MARLIN CIR, ATLANTA, GA 30341-5118
(404) 729-9964
Mailing address
2918 MARLIN CIR, ATLANTA, GA 30341-5118
(404) 729-9964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
039617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039617
STATE LICENSE
GA
Enumeration date
01/09/2007
Last updated
03/07/2023
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