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MELISSA ANDERSON
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1073902896
Individual Registrant: MELISSA ANDERSON
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
804 13TH AVE ALBANY, GA 31701-1328 US
Tel: 229-438-5864 Fax: --
Tel: 229-438-5864 Fax: --
Contact information for business:
PO BOX 72105 ALBANY, GA 31708-2105 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1073902896
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN162737 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
