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Individual

MELISSA DANIELLE CARTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5059 UPPER ELM ST, ATLANTA, GA 30349-1669
(404) 397-2650
(404) 600-2966
Mailing address
5059 UPPER ELM ST, ATLANTA, GA 30349-1669
(404) 397-2650
(404) 600-2966

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076536
GA

Other

Enumeration date
05/12/2020
Last updated
05/12/2020
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