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Individual

MELANIE RAE LIND-AYRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
33 JESSE HILL JUNIOR DRIVE SOUTHEAST, ATLANTA, GA 30303
(404) 778-1440
(404) 778-1401
Mailing address
1110 CREEKDALE DR, CLARKSTON, GA 30021-1023
(404) 294-0231

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
002079
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002079
RESIDENCY TRAINING PERMIT
GA
Enumeration date
12/27/2007
Last updated
12/27/2007
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