Williamson, Melissa

Williamson, Melissa is an individual health care provider with primary practice located at 607 Jackson St , Vidalia GA 30474-4721. 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. Williamson, Melissa can be contacted via phone (912) 331-0846.

Contact Information

Primary practice address
607 Jackson St Vidalia GA 30474-4721
Phone: (912) 331-0846
Fax: (678) 792-4894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET003260 Georgia

Profile Details

NPI number 1386234953
LBN Legal business name Williamson, Melissa
Credentials M.ED/CF
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 5 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 1386234953 NPPES
Georgia MEDICAID PCET003260

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