Individual
DR. ELIZABETH JANE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
PO BOX 535744, ATLANTA, GA 30353-5510
(844) 294-5114
(865) 691-0843
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101284249
VA
207L00000X
Anesthesiology Physician
Primary
102182
GA
207L00000X
Anesthesiology Physician
51388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871889576
—
VA
05
—
Q021942
—
TN
Enumeration date
06/22/2011
Last updated
04/10/2025
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