Organization
ACWORTH PULMONARY AND SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID WALDMAN MD (PHYSICIAN)
(678) 361-4848
Entity
Organization
Contact information
Practice address
4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
(678) 361-4848
Mailing address
4900 IVEY RD NW, SUITE 1220, ACWORTH, GA 30101-4108
(678) 361-4848
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
048833
GA
207RP1001X
Pulmonary Disease Physician
Primary
048833
GA
Other
Enumeration date
12/31/2010
Last updated
01/07/2011
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