Individual
DR. MELISSA GUNEWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-9442
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15236
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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