Individual
MICHAEL B DINERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1065 BALMORAL RD NE, ATLANTA, GA 30319-1017
(404) 944-7523
Mailing address
1065 BALMORAL RD NE, ATLANTA, GA 30319-1017
(404) 944-7523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000945876
—
GA
Enumeration date
06/07/2006
Last updated
12/15/2009
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