Individual
MICHAEL ANDREW MINICHIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342-1630
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342-1630
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
89184
GA
Other
Enumeration date
03/31/2019
Last updated
10/30/2024
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