Melissa Fagan

NPI 1598156408 · on the registry since 2015

Practice

Address: 2215 Exchange Pl Se
Conyers, GA 30013
Phone: (770) 922-3522
Fax: (770) 922-3662
Organisation at this address: Family 360 Incorporated
Rockdale Physician Practices, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-02-13

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