Individual
MELANIE AGNES SARMIENTO MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
(770) 999-2363
Mailing address
3825 MEDICAL PARK DR STE 200, AUSTELL, GA 30106-6831
(770) 948-5578
(770) 999-2363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN302220
GA
Other
Enumeration date
09/16/2021
Last updated
11/02/2023
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