Individual
MICHAEL LASALA BINSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1505 NORTHSIDE FORSYTH BLVD, STE 3500, CUMMING, GA 30041
(770) 292-6500
(770) 292-6535
Mailing address
1414 MEDICAL CENTER DR, WILMINGTON, NC 28401-7505
(910) 763-7363
(910) 251-8296
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004505
GA
363AS0400X
Surgical Physician Assistant
1000755
NC
Other
Enumeration date
10/17/2006
Last updated
03/17/2018
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