Individual
MRS. MELISSA CLARE WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 420, MARIETTA, GA 30068-4424
(404) 256-2535
(404) 845-4720
Mailing address
4800 OLDE TOWNE PKWY STE 420, MARIETTA, GA 30068-4424
(404) 256-2535
(404) 845-4720
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001002388
NC
363AM0700X
Medical Physician Assistant
Primary
008211
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102465
—
NC
Enumeration date
07/14/2010
Last updated
03/26/2018
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