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Individual

HENRY A MIGNARDOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAA

Contact information

Practice address
1968 PEACHTREE RD, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
008280
GA
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
09/11/2015
Last updated
07/21/2022
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