Individual
MS. MICHELLE L BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2147 SHANCEY LN, COLLEGE PARK, GA 30349-3427
(770) 369-4370
Mailing address
2147 SHANCEY LN, COLLEGE PARK, GA 30349-3427
(770) 369-4370
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN071315
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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