Individual
MELISSA F STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3889 COBB PKWY NW, ACWORTH, GA 30101-4084
(770) 975-1299
Mailing address
3889 COBB PKWY NW, ACWORTH, GA 30101-4084
(770) 975-1299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN145301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN145301
RN LICENSE #
GA
Enumeration date
09/21/2010
Last updated
12/15/2010
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