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Individual

MICHAEL D SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4480 N COOPER LAKE RD SE, SMYRNA, GA 30082-4622
(770) 333-1300
(770) 432-8312
Mailing address
4480 N COOPER LAKE RD SE, SMYRNA, GA 30082-4622
(770) 333-1300
(770) 432-8312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055647
GA
208000000X
Pediatrics Physician
055647
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
609580122A
GA
Enumeration date
10/05/2005
Last updated
04/17/2014
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