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Contact Information

MICHAEL S PONT, MD
705 DIXIE STREET
CARROLLTON, GA30117
 Phone: 770-834-0751
 Fax: 770-834-0753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MICHAEL S PONT · (Male)

NPI Number 1184698037
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2006
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 035503
  • GA Medicaid 000508637
  • GA Medicaid 000508637AO
  • GA Other P01071675 RAILROAD MEDICARE
Hospital affiliation(s)
  • TANNER MEDICAL CENTER - CARROLLTON - (Acute Care)
    705 DIXIE STREET
    CARROLLTON, GA 30117
  • TANNER MEDICAL CENTER VILLA RICA - (Acute Care)
    601 DALLAS HIGHWAY
    VILLA RICA, GA 30180
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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