Individual
MICHAEL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 PETERS ST SW UNIT 2101, ATLANTA, GA 30313-2159
(916) 747-1219
Mailing address
210 PETERS ST SW UNIT 2101, ATLANTA, GA 30313-2159
(916) 747-1219
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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