Individual
DR. MICHAEL C. SERGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
88-94
NM
207R00000X
Internal Medicine Physician
070583
GA
208M00000X
Hospitalist Physician
Primary
070583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143740A
—
GA
05
—
04606
—
NM
01
—
080184953
RR MEDICARE NUMBER
—
01
—
558948216M
MEDICARE PART B PIN
—
Enumeration date
07/06/2005
Last updated
01/19/2017
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