Healthcare Provider Details

I. General information

NPI: 1861412496
Provider Name (Legal Business Name): HOWARD W. SILVERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 HAYNES BRIDGE RD STE 200
ALPHARETTA GA
30009-4822
US

IV. Provider business mailing address

11525 HAYNES BRIDGE RD STE 200
ALPHARETTA GA
30009-4822
US

V. Phone/Fax

Practice location:
  • Phone: 770-751-0800
  • Fax: 770-751-7198
Mailing address:
  • Phone: 770-751-0800
  • Fax: 770-751-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number035521
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: