Provider Demographics
NPI:1033115902
Name:HOWARD, MICHAEL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1534 DECATUR RD N
Mailing Address - Street 2:STE 206
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1000
Mailing Address - Country:US
Mailing Address - Phone:404-371-0077
Mailing Address - Fax:404-371-1900
Practice Address - Street 1:1534 N DECATUR RD NE
Practice Address - Street 2:STE 206
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-1000
Practice Address - Country:US
Practice Address - Phone:404-371-0077
Practice Address - Fax:404-371-1900
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA49034207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA22BDDJPMedicare ID - Type Unspecified
GAH69789Medicare UPIN