Provider Demographics
NPI:1972560944
Name:NAJJAR, MICHAEL F (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:NAJJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2205
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30722-2205
Mailing Address - Country:US
Mailing Address - Phone:706-226-7585
Mailing Address - Fax:706-226-9985
Practice Address - Street 1:1504 NORTH THORNTON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720
Practice Address - Country:US
Practice Address - Phone:706-226-7585
Practice Address - Fax:706-226-9985
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA41180208VP0000X
TN27354208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000685649CMedicaid
GA41180OtherMEDICAL LICENSE
TN27354OtherMEDICAL LICENSE
GA41180OtherMEDICAL LICENSE
G13944Medicare UPIN