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MELISSA ANDERSON

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073902896

Individual Registrant:
 MELISSA  ANDERSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
804 13TH AVE  ALBANY, GA 31701-1328 US
Tel: 229-438-5864  Fax: --

Contact information for business:
PO BOX 72105  ALBANY, GA 31708-2105 US
Tel: --  Fax: --

Registration Information:
NPI: 1073902896
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN162737

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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