Individual
DR. MICHAEL THOMAS MUSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PH.D.
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
2200 BEAVERDAM RD, COLBERT, GA 30628-1534
(706) 207-0033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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