Individual
MELANIE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1789 CLARON AVE, CONLEY, GA 30288-1308
(678) 891-7235
Mailing address
1789 CLARON AVE, CONLEY, GA 30288-1308
(678) 891-7235
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
DEPARTMENT OF VA
—
Enumeration date
11/21/2019
Last updated
11/21/2019
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