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Individual

MS. MELISSA DAVIS SUMMERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1240 JESSE JEWELL PKWY SE STE 500, GAINESVILLE, GA 30501-3861
(770) 536-9864
(770) 297-5023
Mailing address
1240 JESSE JEWELL PKWY SE, STE 500, GAINESVILLE, GA 30501-3861
(770) 219-8888
(770) 219-8887

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN174484
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN174484
NURSE PRACTITIONER LICENSE
GA
Enumeration date
03/22/2011
Last updated
07/21/2022
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