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1992299713
MELINDA VICTORIA BOTTENFIELD
CONYERS, GA
NPI
1992299713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 96227)
Additional Taxonomies
208600000X Surgery
(Licence: PA OT018587)
Enumeration Date
2018-06-15
Last Update Date
2023-10-11
Business Address
MELINDA VICTORIA BOTTENFIELD DO
1301 SIGMAN RD NE STE 180
CONYERS, GA 30012-3924
Phone number: 770-922-4024
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Mailing Address
MELINDA VICTORIA BOTTENFIELD DO
1086 FRANKLIN ST
JOHNSTOWN, PA 15905-4305
Phone number: 814-534-1660
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