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1104284843
MELANIE LATRICE PORTER
MACON, GA
NPI
1104284843
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Former Name
MELANIE LATRICE WALKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN015117)
Enumeration Date
2016-02-09
Last Update Date
2019-05-02
Business Address
Dr. MELANIE LATRICE PORTER D.D.S.
606 SPRING ST
MACON, GA 31201-2028
Phone number: 478-746-4578
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Mailing Address
Dr. MELANIE LATRICE PORTER D.D.S.
606 SPRING ST
MACON, GA 31201-2028
Phone number: 478-746-4578
Copy
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