Individual
DR. MICHELLE DIAN DEMALINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
(770) 510-3651
Mailing address
PO BOX 1033, BUFORD, GA 30515-1033
(770) 510-3651
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH020918
GA
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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