Individual
ANN MARIE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4622 COUNTRY CLUB RD STE 180, WINSTON SALEM, NC 27104-3770
(336) 768-9535
(336) 768-4155
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001003907
NC
Other
Enumeration date
04/22/2013
Last updated
07/10/2023
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