Individual
MS. MICHELLE LEE DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 YORKTOWN DR STE 203, FAYETTEVILLE, GA 30214-1578
(770) 474-7416
(706) 920-7617
Mailing address
101 SPRINGRIDGE CT, PEACHTREE CITY, GA 30269-1143
(770) 474-7416
(770) 692-0761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003062
GA
Other
Enumeration date
06/23/2006
Last updated
03/26/2025
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