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Individual

MELISSA BLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1574 WILLIAMSON RD, GRIFFIN, GA 30224-3931
(770) 358-5252
(770) 229-3067
Mailing address
312 ATKINSON DR, GRIFFIN, GA 30223-1928
(678) 544-5888

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN76964
GA

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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