| Doctor Name: | MELISSA D. MCLEOD |
| NPI Number: | 1053731729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN198320 |
| Business Practice Address: | 306 Westside Dr Douglas, GA - 315333530 |
| Business Phone Number: | 9123837826 |
| Business Fax Number: | 9123837299 |
| Mailing Address: | 5246 Ga Highway 32 E, NICHOLLS |
| State: | GA |
| Postal Code: | 315545636 |
| Phone Number: | 9123310121 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2014 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN198320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |