Individual
MELISSA TUCKER KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6475 JIMMY CARTER BLVD STE 200, NORCROSS, GA 30071-1734
(770) 242-7744
Mailing address
100 S CHARLES ST, #150, BALTIMORE, MD 21201-2725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005378
MD
Other
Enumeration date
04/23/2014
Last updated
04/24/2019
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