Individual
MELISSA RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Mailing address
2600 CENTURY PKWY NE, ATLANTA, GA 30345-3125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204203
NCCPA
GA
Enumeration date
08/27/2021
Last updated
02/07/2023
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