Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | PT010970 | GA |
NPI | 1265597843 |
---|---|
Provider Name | Ms. Michelle Murray Kaplita |
First Address | Atlanta, GA 30327-2604 |
Second Address | Atlanta, GA 30327-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 27/09/2013 |