Individual
MICHAEL ELAND SOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(678) 388-1577
Mailing address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(678) 388-1577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN197261-NP
GA
363LF0000X
Family Nurse Practitioner
265595
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126014A
—
GA
05
—
003126014B
—
GA
05
—
003126014C
—
GA
05
—
003126014D
—
GA
05
—
003126014E
—
GA
05
—
003126014F
—
GA
05
—
003126014G
—
GA
05
—
003126014H
—
GA
05
—
003126014I
—
GA
05
—
003126014J
—
GA
05
—
003126014K
—
GA
05
—
003126014L
—
GA
05
—
003126014M
—
GA
05
—
003126014N
—
GA
05
—
003126014O
—
GA
01
—
RN197261
LICENSE
GA
Enumeration date
07/20/2012
Last updated
02/09/2014
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