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DAVID MICHEL PA NPI 1104974880


NPI Information

NPI: 1104974880
Provider Name: DAVID MICHEL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1265 HIGHWAY 54 W
SUITE 102
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 460-1900
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David Michel, PA is a medical physician assistant in Fayetteville, GA. David Michel, PA NPI is 1104974880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1265 HIGHWAY 54 W
SUITE 102
FAYETTEVILLE, GA
ZIP 30214-548
Phone: (770) 460-1900
Fax: (770) 719-1214

The enumeration date for this NPI number is 1/8/2007 and was last updated on 6/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical2508GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1511I970747MEDICARE PINGEORGIA
2202I974766MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.