Melanie Graham
Technician, Attendant Care Provider in Lithonia, GA. Individual provider (NPI-1).
NPI number1396372017
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1396372017
- Entity type
- Individual (NPI-1)
- Name
- Melanie Graham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
6256 Hillandale Dr Apt 107Lithonia, GA 30058-4787
Phone 678-847-1945
Mailing address
6256 Hillandale Dr Apt 107Lithonia, GA 30058-4787
Phone 678-847-1945
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