Mudrey, Michael Daren

Mudrey, Michael Daren is an individual health care provider with primary practice located at 3540 Cobb Pkwy Ste 100, Acworth GA 30101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mudrey, Michael Daren can be contacted via phone (706) 632-3711.

Contact Information

Primary practice address
3540 Cobb Pkwy Ste 100 Acworth GA 30101
Phone: (706) 632-3711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 038564 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 38564 Georgia

Profile Details

NPI number 1376574863
LBN Legal business name Mudrey, Michael Daren
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 11th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376574863 NPPES
Georgia MEDICAID 000621398J

Popular Providers