Tepper, Micah R.

Tepper, Micah R. is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 409, Austell GA 30106-6810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tepper, Micah R. can be contacted via phone (770) 732-9100.

Contact Information

Primary practice address
1700 Hospital South Dr Suite 409 Austell GA 30106-6810
Phone: (770) 732-9100
Fax: (678) 819-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 057687 Georgia

Profile Details

NPI number 1114973963
LBN Legal business name Tepper, Micah R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 2nd, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114973963 NPPES
Georgia MEDICAID 186998965L
Georgia MEDICAID 186998965K
Georgia MEDICAID 186998965M
Georgia MEDICAID 186998965J

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