Michael, Stephanie A

Michael, Stephanie A is an individual health care provider with primary practice located at 3515 Dallas Hwy Suite 101H , Powder Springs GA 30127-6458. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Michael, Stephanie A can be contacted via phone (770) 499-0080.

Contact Information

Primary practice address
3515 Dallas Hwy Suite 101H Powder Springs GA 30127-6458
Phone: (770) 499-0080
Fax: (770) 499-0570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001023 Georgia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001023 Georgia

Profile Details

NPI number 1790775559
LBN Legal business name Michael, Stephanie A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 5th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790775559 NPPES
Louisiana MEDICAID 1756351
Louisiana MEDICAID 916702115E

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