Individual
JUAN M SARMIENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5985
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
052823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301321
UNITED HEALTHCARE
GA
01
—
3182745
US HEALTHCARE
GA
01
—
841385
BCBS
GA
01
—
P00006137
RAILROAD MEDICARE
GA
01
—
Y 20030801
PHCS
GA
Enumeration date
07/25/2006
Last updated
10/29/2007
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