Michaelides, Kyriakos M.
Michaelides, Kyriakos M. is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 502, Austell GA 30106-6810. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Michaelides, Kyriakos M. can be contacted via phone (770) 739-9555.Contact Information
Primary practice address
1700 Hospital South Dr Suite 502
Austell GA 30106-6810
Phone: (770) 739-9555
Fax: (770) 732-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016644 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 016644 | Georgia |
Profile Details
| NPI number | 1831162122 |
|---|---|
| LBN Legal business name | Michaelides, Kyriakos M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 23rd, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831162122 | NPPES |
| Georgia | MEDICAID | 000012801E |
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