Search › Georgia › 363LC0200X
Michael Self, NP
NPI 1235844424 · on the registry since 2023
Practice
- Address
- 677 Church St Ne
Marietta, GA 30060 - Phone
- (770) 793-5000
- Organisation at this address
- Kennestone Hospital Inc
Kennestone Hospital, Inc
Kennestone Hospital, Inc.
Wellstar Medical Group, Llc
Wellstar Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 485
Additional practice sites
- 171 Ashley Ave, Charleston, SC
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Also registered as
- 363LC0200X
- Licence states on file
- SC, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia