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Individual

DR. MELISSA GIANNAMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3960 SHALLOWFORD RD, SUITE A, MARIETTA, GA 30062-5014
(770) 642-4001
(770) 641-1656
Mailing address
3960 SHALLOWFORD RD, SUITE A, MARIETTA, GA 30062-5014
(770) 642-4001
(770) 641-1656

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001323
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000648117A
GA
Enumeration date
12/21/2006
Last updated
05/27/2015
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