Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, OTC, MS
Contact information
Practice address
59 EXECUTIVE PARK S, SUITE 2000, ATLANTA, GA 30329-2208
(404) 778-3350
Mailing address
1050 LENOX PARK BLVD NE, APT 2302, BROOKHAVEN, GA 30319-5826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT001743
GA
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
06/30/2010
Last updated
02/01/2017
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