MEDICARE: SENTIENTBIO MKF LLC

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
1	163WW0000X	Wound Care Registered Nurse
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1548140403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENTIENTBIO MKF LLC

Provider Business Mailing Address
First Line	:	8014 CUMMING HWY STE 403-307
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-9339
Country	:	US
Telephone Number	:
Fax Number	:	678-804-2373

Provider Business Practice Location Address
First Line	:	130 E MAIN ST STE 326
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30114-2775
Country	:	US
Telephone Number	:	678-697-5351
Fax Number	:	678-804-2373

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL HULSE
Credential	:	MD
Telephone Number	:	770-878-0382

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	04/23/2026

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Directions to “SENTIENTBIO MKF LLC ” Practice Location

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