Provider Demographics
NPI:1588423610
Name:MICHELS, JONATHAN SCOTT (PA-C)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:SCOTT
Last Name:MICHELS
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:2546 BATAVIA ST
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-2843
Mailing Address - Country:US
Mailing Address - Phone:336-596-4104
Mailing Address - Fax:
Practice Address - Street 1:125 MEDICAL PARK LN STE H
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6921
Practice Address - Country:US
Practice Address - Phone:828-837-3525
Practice Address - Fax:828-837-6923
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical