Individual
DR. MICHAEL DAVID CUOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 SUGAR PIKE WAY, CANTON, GA 30115-5423
(678) 762-0001
Mailing address
1026 SUGAR PIKE WAY, CANTON, GA 30115-5423
(678) 762-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
59397
GA
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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