Individual
MICHAEL JONATHAN YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PHOENIX BLVD, STE 200, COLLEGE PARK, GA 30349-5588
(404) 355-0743
(770) 991-6477
Mailing address
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
032331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000596109F
—
GA
01
—
0486290001
DME
—
Enumeration date
08/10/2005
Last updated
10/21/2010
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