Individual
LOUIS MAMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 S 8TH ST, GRIFFIN, GA 30224-4211
(770) 227-5505
(770) 412-7881
Mailing address
503 S 8TH ST, GRIFFIN, GA 30224-4211
(770) 227-5505
(770) 412-7881
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030648
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373843H
—
GA
Enumeration date
02/28/2006
Last updated
09/08/2022
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