Individual
MS. MELISSA LIZA COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5040
Mailing address
1016 WILLIVEE DR, DECATUR, GA 30033-4131
(404) 273-9024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4538
GA
Other
Enumeration date
10/23/2006
Last updated
04/02/2010
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