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Individual

MELIA ANN STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
601A PROFESSIONAL DRIVE, SUITE 370, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018
Mailing address
601A PROFESSIONAL DRIVE, SUITE 370, LAWRENCEVILLE, GA 30046
(770) 995-0823
(770) 995-7018

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN167716
GA

Other

Enumeration date
10/27/2009
Last updated
07/11/2014
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