Individual
MELANIE DAWN WEATHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
(706) 845-4430
Mailing address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
(706) 845-4430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN079088
GA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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