Individual
MICHELLE D MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 CARPENTER DR STE 400, ATLANTA, GA 30328-4933
(678) 460-0345
(678) 460-0350
Mailing address
44022 GARDNER DR, ALPHARETTA, GA 30009-8614
(404) 889-9274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058176570
GA DL
GA
Enumeration date
11/29/2010
Last updated
07/21/2022
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