Individual
MELINDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 COLONY PARK DR STE 800B, CUMMING, GA 30040-2794
(470) 354-6259
Mailing address
106 COLONY PARK DR STE 800B, CUMMING, GA 30040-2794
(470) 354-6259
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885389756
—
GA
Enumeration date
01/09/2023
Last updated
01/09/2023
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