Provider Demographics
NPI:1831382704
Name:CURRAN, MICHAEL MANNING (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MANNING
Last Name:CURRAN
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 1:12498 BROADWELL RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6376
Mailing Address - Country:US
Mailing Address - Phone:803-361-8571
Mailing Address - Fax:
Practice Address - Street 1:12498 BROADWELL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-6376
Practice Address - Country:US
Practice Address - Phone:803-361-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00395207Q00000X
SC29178207Q00000X
GA82023207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC297185Medicaid