Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 419 | GA |
Y | 213ES0000X | Sports Medicine | 419 | GA |
NPI | 1326164500 |
---|---|
Provider Name | Michael D Folmar |
First Address | Franklin, TN 37067-2626 |
Second Address | Atlanta, GA 30336-2659 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |