Organization
MIXED MEDICAL MEDIA
Active
Parent organization
MIXED MEDICAL MEDIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIXED MEDICAL MEDIA
Authorized official
AARON MICHAEL FLETCHER SR. MD (OWNER)
(678) 902-9495
Entity
Organization
Contact information
Practice address
1106 HOSPITAL DR, STOCKBRIDGE, GA 30281-6381
(678) 902-9495
(678) 815-1548
Mailing address
1106 HOSPITAL DR, STOCKBRIDGE, GA 30281-6381
(678) 902-9495
(678) 815-1548
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151504E
—
GA
Enumeration date
09/11/2025
Last updated
09/11/2025
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