Individual
MICHELLE LAUREN KRASLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST, OR 6000, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89958
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/02/2018
Last updated
11/28/2022
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