Provider Demographics
NPI:1962482893
Name:FERRARO, FRANCIS A (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:A
Last Name:FERRARO
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 1:3520 PIEDMONT RD NE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1609
Mailing Address - Country:US
Mailing Address - Phone:404-870-2802
Mailing Address - Fax:404-419-6623
Practice Address - Street 1:3520 PIEDMONT RD NE STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1609
Practice Address - Country:US
Practice Address - Phone:404-870-2802
Practice Address - Fax:404-419-6623
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0372042085R0202X
ALMD.204462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000553066Medicaid
GAF61267Medicare UPIN
GA000553066Medicaid
AZZ116153Medicare PIN
GA30BDKHKMedicare PIN