Individual
MS. MELANIE DIANE DISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 ROSWELL RD, MARIETTA, GA 30062-3670
(770) 973-7600
Mailing address
5685 BROOKSTONE WALK NW, ACWORTH, GA 30101-4582
(404) 429-1907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHI013456
GA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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