Individual
MICAELA ROSE CAMPAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 110, GAINESVILLE, GA 30501-3816
(770) 219-9380
Mailing address
4930 WILLOW CREEK DR, WOODSTOCK, GA 30188-4361
(404) 242-7831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10680
GA
Other
Enumeration date
12/04/2021
Last updated
10/14/2024
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