Summerlin, Melissa Davis

Summerlin, Melissa Davis is an sole proprietor health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Ste 500 , Gainesville GA 30501-3861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Summerlin, Melissa Davis can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Ste 500 Gainesville GA 30501-3861
Phone: (770) 536-9864
Fax: (770) 297-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN174484 Georgia

Profile Details

NPI number 1043519671
LBN Legal business name Summerlin, Melissa Davis
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2011
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043519671 NPPES
Georgia Other RN174484 NURSE PRACTITIONER LICENSE

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