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Individual

MRS. MELISSA D AYCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1599
Mailing address
3240 AVALON BLVD, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1599

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
139568
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188306599B
GA
Enumeration date
06/25/2008
Last updated
09/12/2012
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