Individual
MICHELLE S KAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(770) 645-9181
(770) 645-8455
Mailing address
180 NORTHLAND RIDGE TRL NE, ATLANTA, GA 30342-2467
(404) 751-6011
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788256335A
—
GA
05
—
788256335B
—
GA
Enumeration date
06/30/2008
Last updated
01/03/2013
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