Individual
MR. MICHAEL M MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106-6810
(770) 941-7717
(770) 948-9729
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106-6810
(770) 941-7717
(770) 948-9729
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN065692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000331262D
—
GA
05
—
253270052A
—
GA
Enumeration date
10/24/2005
Last updated
07/20/2011
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