Ray, Melissa

Ray, Melissa is an sole proprietor health care provider with primary practice located at 1579 Willow Dr , Marietta GA 30066-1244. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ray, Melissa can be contacted via phone (718) 501-9143.

Contact Information

Primary practice address
1579 Willow Dr Marietta GA 30066-1244
Fax: (678) 302-7017
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245663012
LBN Legal business name Ray, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2013
Last updated Aug 15th, 2013 - about 13 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 1245663012 NPPES
Georgia MEDICAID 003127350A

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