MEDICARE: DR. MICHAEL E DANT MD

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	207Q00000X	Family Medicine Physician	23936	GA

General Provider Information

NPI Number	:	1518944081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL E DANT MD

Provider Business Mailing Address
First Line	:	4700 BATTLEFIELD PKWY
Second Line	:	SUITE 200
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5166
Country	:	US
Telephone Number	:	706-861-4990
Fax Number	:	706-861-9405

Provider Business Practice Location Address
First Line	:	4700 BATTLEFIELD PKWY
Second Line	:	SUITE 200
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5166
Country	:	US
Telephone Number	:	706-861-4990
Fax Number	:	706-861-9405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	02/12/2010

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