Willingham, Melinda A

Willingham, Melinda A is an individual health care provider with primary practice located at 2321 Henry Clower Blvd Ste A , Snellville GA 30078-7419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Willingham, Melinda A can be contacted via phone (404) 842-5070.

Contact Information

Primary practice address
2321 Henry Clower Blvd Ste A Snellville GA 30078-7419
Phone: (404) 842-5070
Fax: (626) 741-0963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 045669 Georgia

Profile Details

NPI number 1144286410
LBN Legal business name Willingham, Melinda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Aug 9th, 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 1144286410 NPPES
Georgia MEDICAID 00791458K

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