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MELISSA MORTON LEE FNP

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

Registrant NPI Number: 1265812408

Individual Registrant:
 MELISSA MORTON LEE FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
87 S BURNT MILL RD  LA FAYETTE, GA 30728-4263 US
Tel: 706-996-2797  Fax: 706-657-2958

Contact information for business:
13570 N MAIN ST  TRENTON, GA 30752-2012 US
Tel: 706-956-2665  Fax: 706-657-2958

Registration Information:
NPI: 1265812408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN209627
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
TN178822

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000211956AGA05




HEALTH CARE JOBS GA - Page 1



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