Individual
MICHAEL K. MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 PERRY HWY STE 101, HAWKINSVILLE, GA 31036-6748
(478) 892-7246
(478) 892-7247
Mailing address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 476-9886
(478) 476-9976
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
89324
GA
208VP0014X
Interventional Pain Medicine Physician
ME166528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185016
ANTHEM
—
05
—
200318550A
—
IN
01
—
458214
HEALTHLINK
—
Enumeration date
07/07/2005
Last updated
02/12/2024
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