Individual
MRS. MELISSA BOZARTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
380 HOSPITAL DR STE 302, MACON, GA 31217-8001
(478) 750-8606
Mailing address
330 HOSPITAL DR BLDG C STE 315, MACON, GA 31217
(478) 750-8606
(478) 750-0470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN184674
GA
363LF0000X
Family Nurse Practitioner
RN184674
GA
Other
Enumeration date
08/12/2012
Last updated
09/15/2022
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