Individual
GWEN DEBORAH MELKONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT, NMT
Contact information
Practice address
5975 ROSWELL RD NE STE C-333, SANDY SPRINGS, GA 30328-4048
(404) 303-9153
Mailing address
5975 ROSWELL RD NE STE C-333, SANDY SPRINGS, GA 30328-4048
(404) 303-9153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006497
GA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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