Individual
MR. MICHAEL PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHOTIST AND PROSTH
Contact information
Practice address
590 N MILLEDGE AVE, ATHENS, GA 30601-3810
(706) 549-9709
Mailing address
590 N MILLEDGE AVE, ATHENS, GA 30601-3810
(706) 549-9709
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
000026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000913503A
—
GA
Enumeration date
05/01/2007
Last updated
11/02/2007
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