Individual
MICHAEL A SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3365
(770) 631-9999
(770) 631-2415
Mailing address
1065 JODECO RD, STOCKBRIDGE, GA 30281-4953
(678) 284-6300
(678) 284-6282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003048
GA
Other
Enumeration date
12/26/2006
Last updated
05/11/2010
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