Organization
MELISSA J. MCGINNIS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA J. MCGINNIS M.D. (OWNER)
(770) 886-9701
Entity
Organization
Contact information
Practice address
310 W MAIN ST, CUMMING, GA 30040-2446
(770) 886-9701
Mailing address
310 W MAIN ST, CUMMING, GA 30040-2446
(770) 886-9701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000249257E
—
GA
Enumeration date
09/13/2011
Last updated
09/13/2011
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