Fagan, Melissa
Fagan, Melissa is an individual health care provider with primary practice located at 2215 Exchange Pl Se , Conyers GA 30013-6723. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fagan, Melissa can be contacted via phone (770) 922-3522.Contact Information
Primary practice address
2215 Exchange Pl Se
Conyers GA 30013-6723
Phone: (770) 922-3522
Fax: (770) 922-3662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN210303 | Georgia |
Profile Details
| NPI number | 1598156408 |
|---|---|
| LBN Legal business name | Fagan, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2015 |
| Last updated | Feb 13th, 2015 - about 9 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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