Individual
MELANIE VICKERY STANLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4110 BEDGOOD AVE, ARABI, GA 31712
(229) 273-0116
(229) 273-4853
Mailing address
PO BOX 5007, CORDELE, GA 31010
(229) 271-4656
(229) 271-4654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002127
GA
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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