MELISSA FAGAN

CONYERS, GA
NPI1598156408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN210303)
Enumeration Date2015-02-13
Last Update Date2015-02-13
Business Address
-- MELISSA FAGAN
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-922-3522
Mailing Address
-- MELISSA FAGAN
2215 EXCHANGE PL SE
CONYERS, GA 30013-6723
Phone number: 770-922-3522