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MICHAEL ALEXANDER BILAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1605 CHANTILLY DR NE, ATLANTA, GA 30324-3267
(404) 785-7878
Mailing address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2317
(404) 785-7878

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
89734
GA
390200000X
Student in an Organized Health Care Education/Training Program
89734
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89734
MEDICAL LICENSE
GA
Enumeration date
05/01/2018
Last updated
09/01/2023
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