Doctor Name: | MISS MELISSA PAJEAUD PALMER |
NPI Number: | 1164603684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1840 Woodland Run Trl Loganville, GA - 300525874 |
Business Phone Number: | 4044382334 |
Business Fax Number: | |
Mailing Address: | Po Box 920801, NORCROSS |
State: | GA |
Postal Code: | 300100801 |
Phone Number: | 4044382334 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 11/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |