Provider Demographics
NPI:1841352234
Name:FEHMEL, MICHELLE MARIAM (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:MARIAM
Last Name:FEHMEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E MONTGOMERY XRD STE 30
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4978
Mailing Address - Country:US
Mailing Address - Phone:912-353-7611
Mailing Address - Fax:912-353-7147
Practice Address - Street 1:320 E MONTGOMERY CROSSROADS
Practice Address - Street 2:SUITE 30
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406
Practice Address - Country:US
Practice Address - Phone:912-353-7611
Practice Address - Fax:912-353-7147
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor