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NPI Code Detail

MEDICARE: DR. MELISSA BABCOCK MD

MEDICARE: DR. MELISSA BABCOCK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician059368GA

General Provider Information

NPI Number : 1700800752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA BABCOCK MD
Provider Business Mailing Address
First Line : 4890 ROSWELL RD
Second Line : SUITE B-10
City : ATLANTA
State : GA
Zip : 30342-2606
Country : US
Telephone Number : 404-835-3052
Fax Number : 404-835-3053
Provider Business Practice Location Address
First Line : 4890 ROSWELL RD
Second Line : SUITE B-10
City : ATLANTA
State : GA
Zip : 30342-2606
Country : US
Telephone Number : 404-835-3052
Fax Number : 404-835-3053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/25/2010

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Directions to “ DR. MELISSA BABCOCK MD” Practice Location

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