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

Mr. Michael Tyrone Douglas, MSATC

Individual provider Athletic Trainer · NPI 1679535397

Mr. Michael Tyrone Douglas, MSATC is an Athletic Trainer in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

101 Marietta St NW
Atlanta, GA 30303-2720
Phone: (404) 246-9770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT001037 (GA)

Record details

NPI number1679535397
Entity typeIndividual (Type 1)
GenderMale
Credentials MSATC
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESJuly 8, 2015
Mailing address152 Fulton Way Se, Atlanta, GA 30312-2916

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