Individual
MELISSA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 722-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005446
GA
363AM0700X
Medical Physician Assistant
005446
GA
363AS0400X
Surgical Physician Assistant
1779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703PA
—
SC
Enumeration date
09/08/2008
Last updated
10/03/2014
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