MEDICARE: MELISSA MCCARTHY

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
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1023947835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MCCARTHY

Provider Business Mailing Address
First Line	:	1115 MT.ZION RD
Second Line	:	BLDG A1 STE # 9
City	:	MORROW
State	:	GA
Zip	:	30260-4171
Country	:	US
Telephone Number	:	470-650-8626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 MOUNT ZION RD
Second Line	:
City	:	MORROW
State	:	GA
Zip	:	30260-2266
Country	:	US
Telephone Number	:	470-650-8626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ MELISSA MCCARTHY ” Practice Location

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