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Individual

MS. GEORGINIA MELIUS IX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3655 JALAN DRIVE, BARTLETT, TN 38135
(901) 282-2400
Mailing address
3655 JALAN, BARTLETT, TN 38135
(901) 282-2400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000003810
TN

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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