Provider Demographics
NPI:1548140403
Name:SENTIENTBIO MKF LLC
Entity type:Organization
Organization Name:SENTIENTBIO MKF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HULSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-878-0382
Mailing Address - Street 1:8014 CUMMING HWY STE 403-307
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-9339
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:678-804-2373
Practice Address - Street 1:8014 CUMMING HWY STE 403-307
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-9339
Practice Address - Country:US
Practice Address - Phone:678-697-5351
Practice Address - Fax:678-804-2373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty