Individual
MUSIE T MERESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
616 19TH ST, COLUMBUS, GA 31901-1528
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 532724, ATLANTA, GA 30353-2724
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00426905
RAILROAD MEDICARE
GA
Enumeration date
01/24/2007
Last updated
03/17/2008
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