Individual
MELINDA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 HAMMOND DR BLDG B, 2150 CORP CAMPUS STE 1000, ATLANTA, GA 30328
(770) 730-8341
Mailing address
1115 QUEENSGATE DR, SMYRNA, GA 30082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7779
LICENSE#
GA
Enumeration date
05/01/2007
Last updated
07/08/2007
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