Provider Demographics
NPI:1083054845
Name:KRESS, MICHELLE R (DO)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:KRESS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MICHE
Other - Middle Name:R
Other - Last Name:SCHMITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:975 JOHNSON FERRY RD
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:404-255-8086
Mailing Address - Fax:404-531-4962
Practice Address - Street 1:975 JOHNSON FERRY RD
Practice Address - Street 2:STE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-255-8086
Practice Address - Fax:404-531-4962
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010206212085R0202X
GA827162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology