Individual
DR. MICHAEL L SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5462 MEMORIAL DR, SUITE 101, STONE MOUNTAIN, GA 30083-3239
(404) 296-6000
(404) 296-3600
Mailing address
5462 MEMORIAL DR, SUITE 101, STONE MOUNTAIN, GA 30083-3239
(404) 296-6000
(404) 296-3600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1770
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189691321A
—
GA
Enumeration date
08/29/2005
Last updated
07/25/2023
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