Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN012906 | GA |
Y | 213EG0000X | General Practice | DN012906 | GA |
NPI | 1003018037 |
---|---|
Provider Name | Dr. Melanie Anne Nadler |
First Address | Marietta, GA 30064-1996 |
Second Address | Marietta, GA 30064-1996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 17/03/2018 |