Provider Demographics
NPI:1235888603
Name:CONSTANS, MICHAEL PHILIP (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PHILIP
Last Name:CONSTANS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 LANEY WALKER BLVD
Mailing Address - Street 2:AE-3046
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-7310
Mailing Address - Country:US
Mailing Address - Phone:706-721-7005
Mailing Address - Fax:
Practice Address - Street 1:1475 LANEY WALKER BLVD
Practice Address - Street 2:AE-3046
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-7310
Practice Address - Country:US
Practice Address - Phone:706-721-7005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program