Individual
MRS. MELISSA JONES BUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 MOUNT VERNON RD NW, MONROE, GA 30655-5028
(706) 202-7828
Mailing address
PO BOX 260, MONROE, GA 30655-0260
(706) 202-7828
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN176757
GA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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