Individual
MELANIE BLACKWOOD GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 PLANTATION LN, ACWORTH, GA 30101-4746
(404) 345-2478
Mailing address
143 PLANTATION LN, ACWORTH, GA 30101-4746
(404) 345-2478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00684
GA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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