Individual
MR. MICHAEL DAVID POINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(762) 408-1480
(762) 408-8148
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-1480
(762) 408-8148
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4134
GA
363AM0700X
Medical Physician Assistant
PA-359
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00232956
RAILROAD MEDICARE
GA
Enumeration date
06/07/2006
Last updated
08/09/2024
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