MR. ADLERE MICHEL ETIENNE NPI 1679814651

NPI Information

  • NPI: 1679814651
  • Provider Name: MR. ADLERE MICHEL ETIENNE
  • Classification: Specialist/Technologist, Other - 246ZC0007X
  • Specialization: Surgical Assistant
  • Entity Type: Individual
  • Address: 2055 VILLA SPRING CT
    DACULA, GA
    ZIP 30019
  • Phone: (757) 606-4702

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NPI Details

MR. Adlere Michel Etienne is a surgical assistant specialist technologist other in Dacula, GA. The provider is a surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. MR. Adlere Michel Etienne NPI is 1679814651. 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:

2055 VILLA SPRING CT
DACULA, GA
ZIP 30019-275
Phone: (757) 606-4702

The enumeration date for this NPI number is 3/15/2013 and was last updated on 6/12/2025.

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
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant4096GEORGIAYes

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: 11/21/2025

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