Individual
DR. MECHELLE MILLER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 W HOSPITAL RD, FT EISENHOWER, GA 30905-5741
(067) 874-1547
Mailing address
300 W HOSPITAL RD, FT EISENHOWER, GA 30905-5741
(706) 787-4154
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
69218
GA
207Q00000X
Family Medicine Physician
69218
GA
208000000X
Pediatrics Physician
69218
GA
Other
Enumeration date
04/04/2013
Last updated
02/03/2025
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