MICHELE MARIE BALLISTER

LAGRANGE, GA
NPI1003054586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  3758)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  289363)
Enumeration Date2009-01-22
Last Update Date2024-04-29
Business Address
Dr. MICHELE MARIE BALLISTER DNP APRN CRNA CHSE
1514 VERNON RD
LAGRANGE, GA 30240-4131
Phone number: 706-822-1411
Mailing Address
Dr. MICHELE MARIE BALLISTER DNP APRN CRNA CHSE
PO BOX 603484
CHARLOTTE, NC 28260-3484
Phone number: 803-765-1838