Individual
AMANDA MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MONTAGE WAY APT 1108, ATLANTA, GA 30341-6069
(443) 255-2186
Mailing address
1000 MONTAGE WAY APT 1108, ATLANTA, GA 30341-6069
(443) 255-2186
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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