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Individual

MICHAEL J MORYKWAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C, MMSC

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7402
(404) 778-4819
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-7402
(404) 778-4819

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004648
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
703157555C
GA
Enumeration date
09/13/2006
Last updated
05/17/2024
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