Provider Demographics
NPI:1992511554
Name:ROWE, MELISSA CHRISTINA (CCMA)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:CHRISTINA
Last Name:ROWE
Suffix:
Gender:F
Credentials:CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 FIVE FORKS TRICKUM RD.
Mailing Address - Street 2:SUITE B9
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047
Mailing Address - Country:US
Mailing Address - Phone:470-652-8129
Mailing Address - Fax:
Practice Address - Street 1:4045 FIVE FORKS TRICKUM RD.
Practice Address - Street 2:SUITE B9
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047
Practice Address - Country:US
Practice Address - Phone:470-652-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker