Individual
MISS MELISSA KATE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12 BERKELEY RD, #2, AVONDALE ESTATES, GA 30002-1467
(404) 920-8492
(404) 920-8641
Mailing address
12 BERKELEY RD, #2, AVONDALE ESTATES, GA 30002-1467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0004156
GA
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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