Provider Demographics
NPI:1487756508
Name:LERAY, MELISSA E (AA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:E
Last Name:LERAY
Suffix:
Gender:F
Credentials:AA
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Mailing Address - Street 1:610 TREYBURN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3084
Mailing Address - Country:US
Mailing Address - Phone:404-404-1413
Mailing Address - Fax:
Practice Address - Street 1:6325 HOSPITAL PKWY
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-5775
Practice Address - Country:US
Practice Address - Phone:404-778-8311
Practice Address - Fax:770-495-1585
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2020-03-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant