Individual
MICHAEL A AQUADRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 PALMYRA RD, PALMYRA MEDICAL CENTER, ALBANY, GA 31701
(229) 434-2000
Mailing address
2612 NORTHGATE RD, ALBANY, GA 31721
(229) 888-9583
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
GEROGIA028491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325784A
—
GA
Enumeration date
11/14/2006
Last updated
07/08/2007
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