Individual
MICHAEL ISLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 REDMOND RD NW, ANESTHESIOLOGIST DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
5243 RIVERSIDE DR, APARTMENT 1802, MACON, GA 31210-8803
(678) 528-0241
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00217965
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
07/09/2007
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