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Individual

DR. MICHAEL DANIEL ECHEMENDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11975 MORRIS RD, SUITE 200, ALPHARETTA, GA 30005-4419
(770) 751-3600
(770) 751-3615
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019880
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000252535C
GA
05
000252535E
GA
05
000252535K
GA
05
000252535L
GA
Enumeration date
10/18/2005
Last updated
05/12/2016
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