Dr. Michael R Kaufman, M.D.
Otolaryngology in Marietta, GA. Individual provider (NPI-1).
NPI number1669887303
StatusActive
Last updated in NPPESOct 14, 2019
Details
- NPI
- 1669887303
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael R Kaufman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2014
- Last updated
- Oct 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 82832 | GA | Yes |
| 207Y00000X | Otolaryngology | FK5377343 | KY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
699 Church St Ne Ste 340Marietta, GA 30060-1131
Phone 678-355-1620
Mailing address
699 Church St Ne Ste 340Marietta, GA 30060-1131
Phone 678-355-1620
Other practice locations
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