Search › Georgia › 164W00000X
Melanie Bouldwate
NPI 1033821152 · on the registry since 2022 · sole proprietor
Practice
- Address
- 500 Sandy Ln Apt 201
Acworth, GA 30102 - Phone
- (121) 575-6190
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia