Individual
MELISSA B LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 KERON WAY, GRACEWOOD, GA 30812
(706) 339-3372
Mailing address
1523 KERON WAY, HEPHZIBAH, GA 30815-4342
(706) 339-3372
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
462131890
GA
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/29/2013
Last updated
10/30/2013
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