Michelle Elizabeth Dehaven

NPI #1083330351 in Marietta, Georgia

Provider Information

NPI Number: 1083330351
Entity Type: Individual
Name: Michelle Elizabeth Dehaven
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 18, 2022
Last Updated: Jun 4, 2024

Practice Location

Address: 115 CHERRY ST NE
City: Marietta
State: Georgia
ZIP Code: 30060-7205
Phone: (770) 793-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Physician Assistant	363A00000X

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