Individual
MICHAEL THOMAS CORMICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
75043
GA
2086S0102X
Surgical Critical Care Physician
Primary
75043
GA
Other
Enumeration date
06/08/2011
Last updated
01/04/2021
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