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NPI Code Detail

MEDICARE: MISS MELANIE P SMITH PA-C

MEDICARE: MISS MELANIE P SMITH PA-C
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
1363AM0700XMedical Physician Assistant004479GA

General Provider Information

NPI Number : 1215974621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MELANIE P SMITH PA-C
Provider Business Mailing Address
First Line : 601 S 8TH ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4213
Country : US
Telephone Number : 770-228-2821
Fax Number :
Provider Business Practice Location Address
First Line : 601 S 8TH ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4213
Country : US
Telephone Number : 770-228-2821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 06/20/2013

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Directions to “ MISS MELANIE P SMITH PA-C” Practice Location

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