NPI 1043503923

Michael Dattilo, MDPHD

Practitioner Neuro-ophthalmology Physician Atlanta, GA

Practice location

Address: 1365b Clifton Rd NE, Atlanta, GA 30322-1013
Phone: (404) 778-5360
Fax: (404) 778-4849

Registered specialties (2)

Neuro-ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0109X Licence 073433 (GA)

Other Ophthalmology providers in Georgia →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 073433 (GA)

Registry record

NPI: 1043503923
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2011
Record last updated: 8 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.