Individual
MS. MICHELE LYN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-5630
Mailing address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
GAA-NP000269
GA
363L00000X
Nurse Practitioner
ARNP9166841
FL
363L00000X
Nurse Practitioner
Primary
GAA-NP000269
GA
Other
Enumeration date
04/19/2010
Last updated
04/28/2025
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