Provider Demographics
NPI:1164603684
Name:PALMER, MELISSA PAJEAUD
Entity Type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:PAJEAUD
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 920801
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-0801
Mailing Address - Country:US
Mailing Address - Phone:404-438-2334
Mailing Address - Fax:
Practice Address - Street 1:1840 WOODLAND RUN TRL
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5874
Practice Address - Country:US
Practice Address - Phone:404-438-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy