Individual
MRS. MICHELLE MONIQUE HOSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
795 POPLAR RD STE 400, NEWNAN, GA 30265-2590
(770) 400-4670
Mailing address
950 COMMON OAK PL, LAWRENCEVILLE, GA 30045-8260
(917) 288-2642
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN193043
GA
Other
Enumeration date
02/19/2022
Last updated
06/22/2022
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