Healthcare Provider Details

I. General information

NPI: 1710686449
Provider Name (Legal Business Name): PAPCIAK MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11680 GREAT OAKS WAY STE 430
ALPHARETTA GA
30022-2457
US

IV. Provider business mailing address

11680 GREAT OAKS WAY STE 430
ALPHARETTA GA
30022-2457
US

V. Phone/Fax

Practice location:
  • Phone: 770-755-5719
  • Fax: 770-755-5718
Mailing address:
  • Phone: 770-755-5719
  • Fax: 770-755-5718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PAPCIAK
Title or Position: DIRECTOR
Credential: MD
Phone: 404-536-1950