Provider Demographics
NPI:1033283635
Name:DRUMM-WILLIAMS, MICHELLE JOANNE (LPN)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:JOANNE
Last Name:DRUMM-WILLIAMS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:JOANNE
Other - Last Name:DRUMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:576 BLUEBIRD TRL
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-7011
Mailing Address - Country:US
Mailing Address - Phone:706-566-2538
Mailing Address - Fax:
Practice Address - Street 1:BLDG 9244, MARTIN LOOP
Practice Address - Street 2:
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905
Practice Address - Country:US
Practice Address - Phone:706-544-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN052801164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse