Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | RN135297 | GA |
NPI | 1780993121 |
---|---|
Provider Name | Melissa M Dowd |
First Address | Athens, GA 30607-1400 |
Second Address | Athens, GA 30607-1400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2010 |
Last Update Date | 11/11/2014 |