Individual
MICHAEL HOWARD BACA-ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 MANNING DR, CB# 7595, CHAPEL HILL, NC 27599-7595
(919) 966-3456
(919) 966-6125
Mailing address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4832
(984) 974-4920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201800347
NC
207QA0401X
Addiction Medicine (Family Medicine) Physician
201800347
NC
Other
Enumeration date
04/29/2015
Last updated
03/31/2021
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