Individual
MICHAEL S PONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 DIXIE STREET, CARROLLTON, GA 30117
(770) 834-0751
(770) 834-0753
Mailing address
PO BOX 639219, CINCINNATI, OH 45263-9219
(770) 834-0751
(770) 834-0753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
035503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000508637
—
GA
05
—
000508637AO
—
GA
01
—
P01071675
RAILROAD MEDICARE
GA
Enumeration date
02/16/2006
Last updated
11/08/2017
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