Individual
MICHAEL L WERNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1491 MONTREAL RD, TUCKER, GA 30084-6922
(770) 270-1284
Mailing address
68 PEACHTREE HILLS AVE NE, ATLANTA, GA 30305-4302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002866
GA
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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