Individual
MATTHEW CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
766 WALTHER RD STE 300, LAWRENCEVILLE, GA 30046
(770) 237-3000
Mailing address
766 WALTHER RD STE 300, LAWRENCEVILLE, GA 30046-8765
(770) 237-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
79617
GA
Other
Enumeration date
11/11/2009
Last updated
07/03/2018
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