MICHELLE ELIZABETH DEHAVEN

MARIETTA, GA
NPI1083330351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  12342)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-10-18
Last Update Date2024-06-04
Business Address
MICHELLE ELIZABETH DEHAVEN
115 CHERRY ST NE
MARIETTA, GA 30060-7205
Phone number: 770-793-5700
Mailing Address
MICHELLE ELIZABETH DEHAVEN
4238 STERLING POINTE DR
DOUGLASVILLE, GA 30135-5037
Phone number:
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