MICHELLE B FAN

THOMASVILLE, GA
NPI1437272796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN147926NP)
Enumeration Date2007-04-09
Last Update Date2009-10-23
Business Address
-- MICHELLE B FAN NP-C
1102 SMITH AVE
THOMASVILLE, GA 31792-5739
Phone number: 229-225-4335
Mailing Address
-- MICHELLE B FAN NP-C
129 SWEETBRIAR LAKES DR
THOMASVILLE, GA 31757-0001
Phone number: 229-236-6630