NPI 1083330351

Michelle Elizabeth Dehaven

Practitioner Emergency Medicine Physician Marietta, GA

Practice location

Address: 115 Cherry St NE, Marietta, GA 30060-7205
Phone: (770) 793-5700
Mailing address: 4238 Sterling Pointe Dr, Douglasville, GA 30135-5037

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 12342 (GA)

Other Emergency Medicine providers in Georgia →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1083330351
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2022
Record last updated: 4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.