Individual
MELISSA MARIE BAKLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 W HOSPITAL RD, AUGUSTA, GA 30905-5741
(706) 787-2880
Mailing address
2303 SPRING HOUSE LN APT G, AUGUSTA, GA 30907-3497
(240) 997-5394
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R178199
MD
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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