Individual
MELIDA CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6020 DAWSON BLVD STE I, NORCROSS, GA 30093-1259
(770) 662-0249
(770) 449-5023
Mailing address
6020 DAWSON BLVD STE I, NORCROSS, GA 30093-1259
(770) 662-0249
(770) 449-5023
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN038669
GA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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