MEDICARE: MICHELLE RENEE ADLER MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	065521	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033125596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE RENEE ADLER MD, MPH

Provider Business Mailing Address
First Line	:	752 HILLPINE TER NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-3270
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CLIFTON RD NE
Second Line	:	MS-E04
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	404-639-8040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/27/2011

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