Provider Demographics
NPI:1861684482
Name:MCFARLAND, MICHAEL LAMONT (NP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:LAMONT
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162608
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30321-2608
Mailing Address - Country:US
Mailing Address - Phone:404-768-7186
Mailing Address - Fax:
Practice Address - Street 1:195 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-2722
Practice Address - Country:US
Practice Address - Phone:770-507-0112
Practice Address - Fax:770-507-9450
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN179019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily