Individual
MELISSA D OGLETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HIGHWAY 81 E, MCDONOUGH, GA 30252-2914
(678) 960-8776
Mailing address
305 SANDERS RD, MILNER, GA 30257-3209
(770) 468-4527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN170268
GA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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