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NPI Code Detail

MEDICARE: MS. MICHELLE JOANNE DRUMM-WILLIAMS LPN

MEDICARE:  MS. MICHELLE JOANNE DRUMM-WILLIAMS  LPN
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
1164W00000XLicensed Practical NurseLPN052801GA

General Provider Information

NPI Number : 1033283635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE JOANNE DRUMM-WILLIAMS LPN
Provider Business Mailing Address
First Line : 576 BLUEBIRD TRL
Second Line :
City : FORTSON
State : GA
Zip : 31808-7011
Country : US
Telephone Number : 706-566-2538
Fax Number :
Provider Business Practice Location Address
First Line : BLDG 9244, MARTIN LOOP
Second Line :
City : FORT BENNING
State : GA
Zip : 31905
Country : US
Telephone Number : 706-544-2633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MICHELLE JOANNE DRUMM-WILLIAMS LPN” Practice Location

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