Most Relevant Information
Provider Data
| NPI Number: | 1003325028 |
| Provider Name: | CECILIA MELODY HARE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 084833 |
Most Important Dates
| Enumeration Date: | 09/21/2017 |
| Last Updated: | 09/21/2017 |
Provider Practice Location
270 CARPENTER DR
ATLANTA
GA
303284931
Practice Location Phone/Fax
| Phone: | 6784600345 |
| Fax: |
Provider Mailing Location
2706 NORTHGATE WAY NW
ACWORTH
GA
301013462
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |