Individual
MICHAEL THOMAS BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12315 CRABAPPLE RD, SUITE 108, ALPHARETTA, GA 30004-6329
(678) 254-2333
(678) 254-2332
Mailing address
12315 CRABAPPLE RD, SUITE 108, ALPHARETTA, GA 30004-6329
(678) 254-2333
(678) 254-2332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB09009700
NJ
207R00000X
Internal Medicine Physician
Primary
67533
GA
Other
Enumeration date
07/30/2009
Last updated
05/12/2014
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