Individual
KIMBERLY FAITH MELVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
59 EXECUTIVE PARK S, SUITE 1100, ATLANTA, GA 30329-2208
(404) 778-6330
(404) 778-6370
Mailing address
PO BOX 102831, ATLANTA, GA 30368-2831
(404) 778-6330
(404) 778-6370
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
07968R
LA
Other
Enumeration date
10/15/2010
Last updated
11/03/2015
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