Provider Demographics
NPI:1497929137
Name:BENNETT, MELISSA G (ND)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:G
Last Name:BENNETT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5755 NORTHPOINT PKWY
Mailing Address - Street 2:# 53
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1142
Mailing Address - Country:US
Mailing Address - Phone:404-528-9755
Mailing Address - Fax:404-220-9044
Practice Address - Street 1:5755 NORTHPOINT PKWY
Practice Address - Street 2:# 53
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1142
Practice Address - Country:US
Practice Address - Phone:404-528-9755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No173C00000XOther Service ProvidersReflexologist
No174H00000XOther Service ProvidersHealth Educator