Individual
MR. JEFFREY RALPH MELLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5901A PEACHTREE DUNWOODY RD, STE 500, ATLANTA, GA 30328
(678) 781-7373
(678) 538-1972
Mailing address
5995 BARFIELD RD, SANDY SPRINGS, GA 30328-4411
(404) 256-1507
(404) 256-1981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1054
GA
Other
Enumeration date
02/28/2007
Last updated
05/07/2015
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