Provider Demographics
NPI:1952492308
Name:MILTON, MICHAEL G (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:MILTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6030 BETHELVIEW RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-8020
Mailing Address - Country:US
Mailing Address - Phone:770-205-6068
Mailing Address - Fax:770-205-8470
Practice Address - Street 1:6030 BETHELVIEW RD
Practice Address - Street 2:SUITE 403
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8020
Practice Address - Country:US
Practice Address - Phone:770-205-6068
Practice Address - Fax:770-205-8470
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA042089207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG59721Medicare UPIN