Evans, Melanie

Evans, Melanie is an individual health care provider with primary practice located at 2239 Highway 20 Se , Conyers GA 30013-2091. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Evans, Melanie can be contacted via phone (770) 921-3565.

Contact Information

Primary practice address
2239 Highway 20 Se Conyers GA 30013-2091
Phone: (770) 921-3565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN015986 Georgia

Profile Details

NPI number 1164086864
LBN Legal business name Evans, Melanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2019
Last updated Jan 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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