Individual
DR. MICHAEL S. WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
033759
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
033759
GA
Other
Enumeration date
10/19/2005
Last updated
03/31/2008
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