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, Llc
Inferred 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