Individual
DR. MICHAEL DEAN BIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 229-9965
(770) 229-4039
Mailing address
718 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 229-9965
(770) 229-4039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00398527F
—
GA
01
—
080153348
MEDICARE RAILROAD
GA
Enumeration date
06/23/2005
Last updated
07/08/2010
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