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Michelle Denise Mcmickin
Family Nurse Practitioner in Lagrange, Georgia
NPI 1184288920

Michelle Denise Mcmickin is a Family Nurse Practitioner based in Lagrange, GA and is specialized in Family. Michelle Denise Mcmickin practices in Lagrange, GA. The NPI Number for Michelle Denise Mcmickin is 1184288920 and holds a License No. 197311 (Georgia).

The current practice location address for Michelle Denise Mcmickin is 52 Woodmont Dr, Lagrange, GA and can be reached out via phone at 229-347-7215.

Location: 52 Woodmont Dr, Lagrange, GA, 30241-7703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184288920
Provider Name
Michelle Denise Mcmickin
Credential
Provider Entity Type
Individual
Gender
Female
Address
52 Woodmont Dr, Lagrange, GA, 30241-7703
Phone Number
229-347-7215
Fax Number
Provider Enumeration Date
04/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
52 Woodmont Dr
City
Lagrange
State
Georgia
Zip
30241-7703
Phone Number
229-347-7215
Fax Number
person
Provider Business Mailing Address Details
Address
52 Woodmont Dr
City
Lagrange
State
Georgia
Zip
30241-7703
Phone Number
229-347-7215
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
197311 (Georgia)
Definition
Definition to come...
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