Individual
DR. MICHAEL D MCEACHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-2430
(770) 254-5097
Mailing address
285 CENTENNIAL OLYMPIC PARK DR NW UNIT 1105, ATLANTA, GA 30313-1845
(404) 561-6014
(770) 254-5097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
050659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430492794A
—
GA
Enumeration date
11/21/2006
Last updated
07/21/2022
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