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General NPI Number Information
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NPI Number | 1821112525
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Entity Type | Individual
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Provider Name | MICHELLE M LOVETT NP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 1700 HOSPITAL SOUTH DR SUITE 502
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City | AUSTELL
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State | GA
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Zip | 30106
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Country | US
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Telephone | 678-741-5000
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Fax | 678-741-2301
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Provider Business Mailing Address
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Address Line | 1700 HOSPITAL SOUTH DRIVE SUITE 502
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City | AUSTELL
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State | GA
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Zip | 30106
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Country | US
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Telephone | 678-741-5000
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Fax | 678-741-2301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 55866
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN191241
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License Number State | GA
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