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Organization

MICHELLE EVANS, PC

Active
Other names
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Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE Y EVANS MD (PRESIDENT)
(404) 596-1218
Entity
Organization

Contact information

Practice address
105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
(404) 596-1218
(855) 594-2307
Mailing address
105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
(404) 596-1218
(855) 594-2307

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
052171
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP7546
MEDICARE PTAN
GA
Enumeration date
02/09/2007
Last updated
03/02/2023
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