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1588792816
JEFFREY RALPH MELLOM
ATLANTA, GA
NPI
1588792816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: GA 1054)
Enumeration Date
2007-02-28
Last Update Date
2015-05-07
Business Address
Mr. JEFFREY RALPH MELLOM OD
5901A PEACHTREE DUNWOODY RD STE 500
ATLANTA, GA 30328
Phone number: 678-781-7373
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Mailing Address
Mr. JEFFREY RALPH MELLOM OD
5995 BARFIELD RD
SANDY SPRINGS, GA 30328-4411
Phone number: 404-256-1507
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