MICHELLE DENISE MCMICKIN

LAGRANGE, GA
NPI1184288920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  197311)
Enumeration Date2019-04-26
Last Update Date2019-04-26
Business Address
MICHELLE DENISE MCMICKIN
52 WOODMONT DR
LAGRANGE, GA 30241-7703
Phone number: 229-347-7215
Mailing Address
MICHELLE DENISE MCMICKIN
52 WOODMONT DR
LAGRANGE, GA 30241-7703
Phone number: 229-347-7215
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