Individual
MELISSA BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
1541 HEATH ST, AUGUSTA, GA 30904-5205
(706) 399-7230
Mailing address
1541 HEATH ST, AUGUSTA, GA 30904-5205
(706) 399-7230
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
03/14/2015
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