Healthcare Provider Details

I. General information

NPI: 1497453542
Provider Name (Legal Business Name): MELISSA FREEMAN MAY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 ATLANTA RD SE
SMYRNA GA
30080-6406
US

IV. Provider business mailing address

4198 ASHBOURNE CT NE
ROSWELL GA
30075-1981
US

V. Phone/Fax

Practice location:
  • Phone: 470-956-0330
  • Fax:
Mailing address:
  • Phone: 404-661-6332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN185066
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: