Ballister, Michele Marie

Ballister, Michele Marie is an sole proprietor health care provider with primary practice located at 1514 Vernon Rd , Lagrange GA 30240-4131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ballister, Michele Marie can be contacted via phone (706) 822-1411.

Contact Information

Primary practice address
1514 Vernon Rd Lagrange GA 30240-4131
Phone: (706) 822-1411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 289363 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3758 South Carolina

Profile Details

NPI number 1003054586
LBN Legal business name Ballister, Michele Marie
Credentials DNP APRN CRNA CHSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2009
Last updated Apr 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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