Michelle Denise Mcmickin

NPI #1184288920 in Lagrange, Georgia

Provider Information

NPI Number
1184288920
Entity Type
Individual
Name
Michelle Denise Mcmickin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 26, 2019
Last Updated
Apr 26, 2019

Practice Location

Address
52 WOODMONT DR
State
Georgia
ZIP Code
30241-7703
Phone
(229) 347-7215

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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