Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael David Deaderick Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831019488

Michael David Deaderick Jr. is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone: (404) 712-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (GA)

Record details

NPI number1831019488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address1364 Clifton Rd Ne, Atlanta, GA 30322-1059

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