Individual
DR. MELANIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2239 HIGHWAY 20 SE, CONYERS, GA 30013-2091
(770) 921-3565
Mailing address
7634 RIVER CREST DR, COLUMBUS, GA 31904-2026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015986
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2019
Last updated
01/17/2020
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