Basic Information
Provider Information
NPI: 1487633905
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STERLING
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 W. PONCE DE LEON AVE. ANNEX BUILDING
Address2: EMORY HEALTHCARE SYSTEM CREDENTIALING
City: DECATUR
State: GA
PostalCode: 30030
CountryCode: US
TelephoneNumber: 4047784889
FaxNumber: 4047784819
Practice Location
Address1: 550 PEACHTREE STREET NE
Address2: EMORY UNIVERSITY HOSPITAL MIDTOWN
City: ATLANTA
State: GA
PostalCode: 30308
CountryCode: US
TelephoneNumber: 4046867858
FaxNumber: 4046867841
Other Information
ProviderEnumerationDate: 01/12/2006
LastUpdateDate: 12/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X012934MEN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X064472GAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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