Individual
STEPHANIE ANN MELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 CREEK VIEW RD, BREMEN, GA 30110-2355
(770) 757-7399
Mailing address
225 CREEK VIEW RD, BREMEN, GA 30110-2355
(770) 757-7399
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN203154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
GA
Enumeration date
03/01/2021
Last updated
03/01/2021
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