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MRS. MICHELE LEE WIEGMANN-ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1115 MOUNT ZION RD, SUITE E, MORROW, GA 30260-2266
(770) 960-9999
(770) 960-0931
Mailing address
1115 MOUNT ZION RD, SUITE E, MORROW, GA 30260-2266
(770) 960-9999
(770) 960-0931

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN145899NP
GA

Other

Enumeration date
08/10/2007
Last updated
07/13/2015
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