Individual
MELLISSA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1454
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
90846
GA
2086S0102X
Surgical Critical Care Physician
90846
GA
Other
Enumeration date
12/01/2017
Last updated
05/06/2024
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