Organization
CHARLES MELVILLE, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H MELVILLE PH.D. (ASSISTANT)
(404) 266-8881
Entity
Organization
Contact information
Practice address
25B LENOX POINTE NE, ATLANTA, GA 30324-3172
(404) 266-8881
(404) 266-8687
Mailing address
25B LENOX POINTE NE, ATLANTA, GA 30324-3172
(404) 266-8881
(404) 266-8687
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000318
GA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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