Individual
MICHAEL ANDREW HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 TOWNE LAKE PKWY STE 404, WOODSTOCK, GA 30189-1604
(770) 926-9229
(678) 415-2164
Mailing address
433 HIGHLAND PKWY, STE 203, EAST ELLIJAY, GA 30540-6989
(706) 698-6400
(706) 698-6401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
040695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000852354E
—
GA
Enumeration date
09/21/2005
Last updated
02/26/2021
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