Provider Demographics
NPI:1962488080
Name:SINEWAY, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:SINEWAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:631 PROFESSIONAL DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3367
Mailing Address - Country:US
Mailing Address - Phone:770-995-0630
Mailing Address - Fax:678-942-5984
Practice Address - Street 1:121 LANGLEY DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6930
Practice Address - Country:US
Practice Address - Phone:770-685-1300
Practice Address - Fax:770-685-1311
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2023-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA24345207RP1001X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00280398AMedicaid
AL009006160Medicaid
GA00280398AMedicaid