Individual
MS. MELISSA SHAUNDREA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 11TH AVE, ALBANY, GA 31701-1548
(229) 809-2133
Mailing address
1811 W WHITNEY AVE, ALBANY, GA 31707-4246
(229) 395-2987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AB13-000640
GA
Other
Enumeration date
09/11/2013
Last updated
10/29/2017
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