Provider / Organization | NPI | Date Certified |
---|---|---|
MELISSA PALMA MCDUFFIE | 1235733163 | 2020-11-22 |
Melissa Palma Mcduffie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235733163. Registration indicates Melissa Palma Mcduffie is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
Entity Type | Individual |
Provider Name | Melissa Palma Mcduffie ATC,RN |
Practice Office Address | 247 S MAIN ST REIDSVILLE, GA US |
Practice Office Telephone | 9125571000 |
Mailing Address | 1700 TAYLOR SPRINGS RD VIDALIA, GA 304746518 US |
Business Telephone | 9122930757 |
Code | Practice | License No State |
---|---|---|
2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | AT002091
GA |