Provider Demographics
NPI:1750527255
Name:STAPLES-HORNE, MICHELLE J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:J
Last Name:STAPLES-HORNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-0626
Mailing Address - Country:US
Mailing Address - Phone:404-291-3765
Mailing Address - Fax:404-241-6673
Practice Address - Street 1:99 JESSE HILL JR DR SE
Practice Address - Street 2:STE 402
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3030
Practice Address - Country:US
Practice Address - Phone:404-893-0773
Practice Address - Fax:404-880-9435
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0364632083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine