Individual
MICHAEL PHILLIP FERMIN VIOLAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-5630
Mailing address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 267-6281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
109329
GA
207R00000X
Internal Medicine Physician
MD452333
PA
208M00000X
Hospitalist Physician
109329
GA
208M00000X
Hospitalist Physician
MD452333
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113735
—
OH
05
—
1029488560015
—
PA
Enumeration date
01/27/2012
Last updated
12/09/2025
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