Individual
MRS. MELISSA DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
900 TOWNE LAKE PKWY STE 410, WOODSTOCK, GA 30189-1604
(770) 517-2145
(770) 517-2147
Mailing address
900 TOWNE LAKE PKWY STE 410, WOODSTOCK, GA 30189-1604
(770) 517-2145
(770) 517-2147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN212024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164414A
—
GA
05
—
003164414B
—
GA
Enumeration date
04/01/2015
Last updated
04/26/2021
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