Individual
DR. MELISSA D PRIMROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2100
(770) 502-2049
Mailing address
1005 BOULDER DR, GRAY, GA 31032-6141
(478) 621-2100
(770) 502-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53516
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107029C
—
GA
Enumeration date
02/20/2007
Last updated
05/30/2023
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