Individual
EVE LUTRELL MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 240, CUMMING, GA 30044-4827
(678) 400-0302
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 240, CUMMING, GA 30040-3069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10430
GA
Other
Enumeration date
03/22/2021
Last updated
07/16/2021
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