Organization
MELANGE HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARDNER LORENZO HAWKINS (PRINCIPAL)
(704) 567-8690
Entity
Organization
Contact information
Practice address
3188 ATLANTA RD SE, SMYRNA, GA 30080-8256
(770) 319-6000
(770) 319-6330
Mailing address
145 SCALEYBARK RD STE B, CHARLOTTE, NC 28209-2682
(704) 567-8690
(704) 536-6030
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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