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1932625209
MELINDA MATHERLY LAVECCHIA
POOLER, GA
NPI
1932625209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 008534)
Enumeration Date
2017-08-18
Last Update Date
2020-01-08
Business Address
MELINDA MATHERLY LAVECCHIA PA
114 CANAL ST STE 503
POOLER, GA 31322
Phone number: 912-450-6300
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Mailing Address
MELINDA MATHERLY LAVECCHIA PA
114 CANAL ST STE 503
POOLER, GA 31322-4261
Phone number: 912-450-6300
Copy
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