Individual
MELANIA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3675 J DEWEY GRAY CIR, STE. 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(706) 868-8375
Mailing address
1120 15TH ST, STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/22/2019
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