Individual provider · Type 1 NPI

David Michel, PA

Medical Physician Assistant · Fayetteville, GA

NPI number 1104974880 Active

Practice location

1265 Highway 54 W, Suite 102
Fayetteville, GA 30214-4548

Call (770) 460-1900 Map

Fax (770) 719-1214

Mailing address

900 Circle 75 Pkwy SE, Suite 1700
Atlanta, GA 30339-3035

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2508 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1104974880

David Michel, PA's National Provider Identifier is 1104974880, issued on Jan 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, GA. The record was last updated on Jun 3, 2014.