Individual
DR. JOHN F MICHAELS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 BOULEVARD SQ, SUITE A, WAYCROSS, GA 31501-8029
(912) 490-0078
(912) 490-0048
Mailing address
1707 BOULEVARD SQ, SUITE A, WAYCROSS, GA 31501-8029
(912) 490-0078
(912) 490-0048
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
029350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000383435C
—
GA
05
—
000383435D
—
GA
05
—
000383435E
—
GA
05
—
000383435F
—
GA
05
—
000383435H
—
GA
05
—
000383435N
—
GA
01
—
52271563-003
BCBS-DOUGLAS
GA
01
—
52271563-004
BCBS-VALDOSTA
GA
01
—
52271563-006
BCBS-TIFTON
GA
Enumeration date
06/08/2006
Last updated
02/08/2022
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