Healthcare Provider Details

I. General information

NPI: 1285609453
Provider Name (Legal Business Name): HOWARD PHILIP SILVERBOARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 JOHNSON FERRY RD SUITE 500
ATLANTA GA
30342-1631
US

IV. Provider business mailing address

960 JOHNSON FERRY RD SUITE 500
ATLANTA GA
30342-1631
US

V. Phone/Fax

Practice location:
  • Phone: 404-257-0006
  • Fax: 404-851-1316
Mailing address:
  • Phone: 404-257-0006
  • Fax: 404-851-1316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number045965
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: