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NPI Code Detail

MEDICARE: MICHAEL D ACKER II LDO

MEDICARE:   MICHAEL D ACKER II LDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOpticianLDO002469GA

General Provider Information

NPI Number : 1306528641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D ACKER II LDO
Provider Business Mailing Address
First Line : 6065 ROSWELL RD STE 424
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4014
Country : US
Telephone Number : 678-349-7553
Fax Number : 404-393-0860
Provider Business Practice Location Address
First Line : 6065 ROSWELL RD STE 424
Second Line :
City : ATLANTA
State : GA
Zip : 30328-4014
Country : US
Telephone Number : 678-349-7553
Fax Number : 404-393-0860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2023
Last Update Date : 08/07/2023

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Directions to “ MICHAEL D ACKER II LDO” Practice Location

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