Douglas, Carmen Melton

Douglas, Carmen Melton is an sole proprietor health care provider with primary practice located at 10354 Shepperton Court , Jonesboro GA 30238. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Douglas, Carmen Melton can be contacted via phone (404) 317-4140.

Contact Information

Primary practice address
10354 Shepperton Court Jonesboro GA 30238
Phone: (404) 317-4140
Fax: (770) 603-9072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005253 Georgia

Profile Details

NPI number 1649419821
LBN Legal business name Douglas, Carmen Melton
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2009
Last updated Aug 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649419821 NPPES
Georgia MEDICAID 000946558D

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