Search › Georgia › 163WI0500X
Melissa Blue
NPI 1851044754 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4804 Technology Dr
Martinez, GA 30907 - Phone
- (706) 339-4142
Registry record
- Primary taxonomy
- 163WI0500X
163WI0500X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-31
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