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Individual

MELISSA BRUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
488 N MAIN ST STE 107, ALPHARETTA, GA 30009-8384
(770) 250-6000
Mailing address
14361 CLUB CIR, ALPHARETTA, GA 30004-4363
(678) 245-2736

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN177305
GA

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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