Michael Chase Ingram
Student in an Organized Health Care Education/Training Program in Atlanta, GA. Individual provider (NPI-1).
NPI number1902723331
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1902723331
- Entity type
- Individual (NPI-1)
- Name
- Michael Chase Ingram
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2026
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | GA | Yes |
Practice location
100 Woodruff Cir NeAtlanta, GA 30322-1020
Phone 404-727-5660
Mailing address
100 Woodruff Cir NeAtlanta, GA 30322-1020
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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