Individual
MELONIE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SWEETWATER RD APT 1614, LAWRENCEVILLE, GA 30044-2479
(678) 524-6217
Mailing address
3100 SWEETWATER RD APT 1614, LAWRENCEVILLE, GA 30044-2479
(678) 524-6217
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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