Individual
ANTONIO MELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 RACETRACK RD # 18, MCDONOUGH, GA 30252-6834
(305) 797-9539
Mailing address
255 RACETRACK RD # 18, MCDONOUGH, GA 30252-6834
(305) 797-9539
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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