Gautreaux, Melissa S

Gautreaux, Melissa S is an individual health care provider with primary practice located at 300 Hospital Rd , Fort Gordon GA 30905-5650. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gautreaux, Melissa S can be contacted via phone (706) 787-9043.

Contact Information

Primary practice address
300 Hospital Rd Fort Gordon GA 30905-5650
Phone: (706) 787-9043
Fax: (706) 787-0105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1467769471
LBN Legal business name Gautreaux, Melissa S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Oct 4th, 2013 - about 12 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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