| Organization Name: | MELISSA ANN CARROLL |
| NPI Number: | 1477923704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA ANN CARROLL (RNFA) |
| Mailing Address: | 190 Bear Creek Rd Moreland |
| State: | GA US |
| Postal Code: | 302592813 |
| Phone Number: | 7703170814 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2015 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | 113659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |