Provider Demographics
NPI:1366534851
Name:ANGEL, MICHAEL F (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:ANGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:STE. 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5210
Mailing Address - Country:US
Mailing Address - Phone:678-206-2589
Mailing Address - Fax:678-261-1713
Practice Address - Street 1:1485 JESSE JEWELL PKWY NE
Practice Address - Street 2:STE. 220A
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3801
Practice Address - Country:US
Practice Address - Phone:678-206-2700
Practice Address - Fax:678-696-2328
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2017-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA77529207Y00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F13239Medicare UPIN
MS2400000063Medicare PIN
MS2400000063Medicare PIN