Individual
MELISSA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(706) 270-5000
Mailing address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN259600
GA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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