Individual
MELISSA ANITA KINNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
(800) 611-1811
Mailing address
3495 PIEDMONT RD NE BLDG 9 1ST FLOOR, ATLANTA, GA 30305-1736
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
84061
GA
207N00000X
Dermatology Physician
A139953
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
03/02/2022
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