Provider Demographics
NPI:1255865465
Name:CHEVALIER, MICHELLE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 E PACES CIR NE UNIT 1320
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-7816
Mailing Address - Country:US
Mailing Address - Phone:917-691-5135
Mailing Address - Fax:
Practice Address - Street 1:4864 JIMMY CARTER BLVD
Practice Address - Street 2:#203
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3701
Practice Address - Country:US
Practice Address - Phone:770-806-0162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274654207V00000X
GA721972083P0901X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine