Individual
MELISSA M GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC SLP
Contact information
Practice address
19 PERRY ST STE B01, NEWNAN, GA 30263-1918
(678) 340-9305
Mailing address
1 RED BUD TRL, NEWNAN, GA 30263-3130
(678) 340-9305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003943
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000742673D
—
GA
Enumeration date
04/17/2007
Last updated
02/27/2025
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