Individual
MS. MELISSA ANNE MARTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12271
GA STATE PA-C LICENSURE
GA
Enumeration date
09/23/2022
Last updated
04/08/2024
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