Healthcare Provider Details
I. General information
NPI: 1467920462
Provider Name (Legal Business Name): MELISSA JOAN MURGAS LINDSAY MSN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/07/2018
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 N CANDLER ST
DECATUR GA
30030-2626
US
IV. Provider business mailing address
724 BINKLEY WALK
SUGAR HILL GA
30518-7140
US
V. Phone/Fax
- Phone: 404-501-6226
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | RN225812 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | RN225812 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: