Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 THORNDALE CT, ROSWELL, GA 30075-6609
(585) 507-3582
Mailing address
345 THORNDALE CT, ROSWELL, GA 30075-6609
(585) 507-3582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004324
GA
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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