Individual
MICHAEL WILLIAM MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 TURNER MCCALL BLVD SW, ROME, GA 30165-5630
(706) 236-6426
(706) 236-6437
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
057103
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906139956E
—
GA
Enumeration date
05/01/2006
Last updated
04/18/2013
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