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Individual

MICHELLE ANGIE COVALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER, DULUTH, GA 30096-4506
(770) 496-3419
(719) 380-8087
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
(719) 380-8087

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
076803
GA
207V00000X
Obstetrics & Gynecology Physician
49001
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60839279
CO
Enumeration date
04/24/2007
Last updated
01/10/2022
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