Michelle Excellent, | |
753 Bridle Creek Way, Auburn, GA 30011-4654 | |
(678) 973-8594 | |
Not Available |
Full Name | Michelle Excellent |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 753 Bridle Creek Way, Auburn, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174927859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN076205 (Georgia) | Primary |
164W00000X | Licensed Practical Nurse | 26NP05947100 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Michelle Excellent, 753 Bridle Creek Way, Auburn, GA 30011-4654 Ph: (678) 973-8594 | Michelle Excellent, 753 Bridle Creek Way, Auburn, GA 30011-4654 Ph: (678) 973-8594 |
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