Provider Demographics
NPI:1205822806
Name:SATCHELL, MICHAEL D (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:D
Last Name:SATCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-1394
Mailing Address - Country:US
Mailing Address - Phone:229-888-4093
Mailing Address - Fax:229-888-4098
Practice Address - Street 1:806 14TH AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1394
Practice Address - Country:US
Practice Address - Phone:229-888-4093
Practice Address - Fax:229-888-4098
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine