Individual
MICHELLE L DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 722-9011
Mailing address
3547 WALKER CREEK RD, HEPHZIBAH, GA 30815-5168
(706) 836-8613
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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