Individual
MELISSA SMYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5445 MERIDIAN MARK RD STE 250, ATLANTA, GA 30342-4767
(404) 255-1933
Mailing address
185 NEWFIELD DR, TYRONE, GA 30290-2571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151408
NCCPA
—
Enumeration date
05/02/2018
Last updated
10/14/2022
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