Individual
DR. MICHAEL WAYNE EARLY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 AVERA DR, FORT VALLEY, GA 31030-5008
(478) 825-3317
(478) 825-5499
Mailing address
201 AVERA DR, FORT VALLEY, GA 31030-5008
(478) 825-3317
(478) 825-5499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307931A
—
GA
Enumeration date
11/08/2006
Last updated
07/08/2007
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