Individual
MRS. MICHALE L KANGELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
313 BALABAN CIR, WOODSTOCK, GA 30188
(678) 848-4351
Mailing address
313 BALABAN CIR, WOODSTOCK, GA 30188-5189
(678) 848-4351
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
139732
GA
Other
Enumeration date
02/27/2013
Last updated
02/12/2026
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