Individual
DR. STEPHANIE A MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3515 DALLAS HWY SUITE 101H, POWDER SPRINGS, GA 30127-6458
(770) 499-0080
(770) 499-0570
Mailing address
1350 UPPER HEMBREE RD STE 100, ROSWELL, GA 30076-0929
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001023
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001023
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1756351
—
LA
05
—
916702115E
—
GA
Enumeration date
10/24/2005
Last updated
04/05/2022
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