Individual
MELANIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6256 HILLANDALE DR APT 107, LITHONIA, GA 30058-4787
(678) 847-1945
Mailing address
6256 HILLANDALE DR APT 107, LITHONIA, GA 30058-4787
(678) 847-1945
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
DEPARTMENT OF VETERANS AFFAIRS
—
Enumeration date
03/24/2020
Last updated
03/24/2020
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