NPI Code Detail JSON Logo

1508669060 NPI number — EDWIGE MICHEL

NPI Number: 1508669060
Health Care Provider/Practitioner: EDWIGE MICHEL

Information about “1508669060” NPI (EDWIGE MICHEL) exists in 1508669060 in HTML format HTML  |  1508669060 in plain Text format TXT  |  1508669060 in PDF (Portable Document Format) PDF  |  1508669060 in an XML format XML  formats.

NPI Number : 1508669060 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508669060",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MICHEL",
    "FirstName": "EDWIGE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1750 POWDER SPRINGS RD SW STE 510",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30064-4849",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-875-8889",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1068 MERCHANTS DR APT 424",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DALLAS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30132-2969",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-784-3032",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/31/2025",
    "LastUpdateDate": "03/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "TPPA812",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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