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Individual

CAROLINE MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(866) 389-2727
Mailing address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201102
GA

Other

Enumeration date
02/24/2021
Last updated
02/24/2021
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