Individual
MELEESA GEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CLAYTON CT, PHENIX CITY, AL 36869-3462
(863) 473-2052
Mailing address
8 CLAYTON CT, PHENIX CITY, AL 36869-3462
(863) 473-2052
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
G362556767510
FL
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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