Individual
MICHELLE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 E WATER ST, BAINBRIDGE, GA 39817-4262
(229) 309-0211
Mailing address
1520 E WATER ST, BAINBRIDGE, GA 39817-4262
(229) 309-0211
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
06/16/2018
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