Mitchell, Michael Wiley

Mitchell, Michael Wiley is an sole proprietor health care provider with primary practice located at 2521 E Cherokee Dr , Woodstock GA 30188-2015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mitchell, Michael Wiley can be contacted via phone (770) 704-9730.

Contact Information

Primary practice address
2521 E Cherokee Dr Woodstock GA 30188-2015
Phone: (770) 704-9730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1063403541
LBN Legal business name Mitchell, Michael Wiley
Credentials CST,CFA,CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Jan 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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