Individual
DR. MELISSA MERRILL MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
(678) 381-2627
Mailing address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
(678) 381-2627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057218
GA
208000000X
Pediatrics Physician
E13059
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200082724
—
MO
05
—
200902370A
—
OK
05
—
239398001
—
AR
05
—
452405206N
—
GA
Enumeration date
08/08/2006
Last updated
11/21/2025
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