Individual
MICHELLE LEE WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
123 WEAVER RD STE B, BLAIRSVILLE, GA 30512-3155
(706) 698-3627
Mailing address
123 WEAVER RD STE B, BLAIRSVILLE, GA 30512-3155
(706) 455-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN168420
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
N/A
—
Enumeration date
07/22/2021
Last updated
02/24/2022
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