Individual
MELISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 30342-3283
(404) 785-1112
(404) 785-3600
Mailing address
5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 30342-3283
(404) 785-1112
(404) 785-3600
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
RN167333
GA
363L00000X
Nurse Practitioner
Primary
1922042118
GA
363L00000X
Nurse Practitioner
RN167333
GA
Other
Enumeration date
06/16/2006
Last updated
12/13/2023
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