Mudd, Melissa A.

Mudd, Melissa A. is an individual health care provider with primary practice located at 3633 Wheeler Rd Suite 365, Augusta GA 30909-6549. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mudd, Melissa A. can be contacted via phone (706) 432-6866.

Contact Information

Primary practice address
3633 Wheeler Rd Suite 365 Augusta GA 30909-6549
Phone: (706) 432-6866
Fax: (706) 432-8775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC005496 Georgia

Profile Details

NPI number 1093259111
LBN Legal business name Mudd, Melissa A.
Credentials LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2016
Last updated Dec 8th, 2016 - about 10 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 1093259111 NPPES
Georgia Other APC005496 STATE LICENSE

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