DR. Michael Anthony Avidano, M.D.

NPI #1780680462 in Stockbridge, Georgia

Provider Information

NPI Number: 1780680462
Entity Type: Individual
Name: DR. Michael Anthony Avidano, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Jun 27, 2005
Last Updated: Jan 4, 2010

Practice Location

Address: 1101 HOSPITAL DR
Address 2: STE 100A
City: Stockbridge
State: Georgia
ZIP Code: 30281-9076
Phone: (770) 474-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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