Individual
MELANIA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
1061 HARMON AVE, BUILDING 302, FORT STEWART, GA 31314-5641
(912) 435-5946
(912) 435-5950
Mailing address
1061 HARMON AVE, BUILDING 302, FORT STEWART, GA 31314-5641
(912) 435-5946
(912) 435-5950
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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