Individual
MELISSA MARIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2160 FOUNTAIN DR, SNELLVILLE, GA 30078-7022
(770) 979-0200
Mailing address
2037 EMA DELL PL, LOGANVILLE, GA 30052-5375
(757) 735-5682
(888) 627-6444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN257772
GA
Other
Enumeration date
08/03/2018
Last updated
07/16/2020
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