Miss Michelle Yvonne Larue, CSA - Physician Assistant in Marietta, GA

Miss Michelle Yvonne Larue, CSA is a Physician Assistant - Surgical based in Marietta, Georgia. Miss Michelle Yvonne Larue is licensed to practice in Tennessee (license number 2632) and her current practice location is 4653 Pond Ln, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 330-5549.

NPI number for Miss Michelle Yvonne Larue is 1659531945 and her current mailing address is 4653 Pond Ln, Marietta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659531945.

Contact Information

Miss Michelle Yvonne Larue, CSA
4653 Pond Ln,
Marietta, GA 30062-5618
(770) 330-5549
(678) 615-2993

Map and Direction




Provider's Profile

Full NameMiss Michelle Yvonne Larue
GenderFemale
SpecialityPhysician Assistant - Surgical
Location4653 Pond Ln, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659531945
  • Provider Enumeration Date: 06/11/2008
  • Last Update Date: 10/19/2016

Medical Identifiers

Medical identifiers for Miss Michelle Yvonne Larue such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659531945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 2632 (Tennessee)Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Michelle Yvonne Larue is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Michelle Yvonne Larue, CSA
4653 Pond Ln,
Marietta, GA 30062-5618

Ph: (470) 306-1985
Miss Michelle Yvonne Larue, CSA
4653 Pond Ln,
Marietta, GA 30062-5618

Ph: (770) 330-5549

Reviews and Comments


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