Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN098172 | GA |
NPI | 1043396237 |
---|---|
Provider Name | Ms. Michelle S Berkowitz |
First Address | Atlanta, GA 30305-1717 |
Second Address | Duluth, GA 30096-4506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 06/01/2022 |