Individual
DR. MICHELLE YVETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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) 598-1218
(855) 594-2307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526285959E
—
GA
01
—
93BBFZN
MEDICARE PTAN
—
Enumeration date
08/07/2006
Last updated
03/02/2023
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