| Doctor Name: | MELISSA BIENACKER BAUGHCUM |
| NPI Number: | 1013276518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN203867 |
| Business Practice Address: | 740 Prince Ave Building 15 Athens, GA - 306065908 |
| Business Phone Number: | 7062967688 |
| Business Fax Number: | 7063699673 |
| Mailing Address: | 740 Prince Ave, Building 15 ATHENS |
| State: | GA |
| Postal Code: | 306065908 |
| Phone Number: | 7065480008 |
| Fax Number: | 7063699673 |
| NPI Enumeration Date: | 05/04/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN203867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |