Provider Demographics
NPI:1922569326
Name:SCHULTZ, MELISSA ANN (CD(DONA))
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-3338
Mailing Address - Country:US
Mailing Address - Phone:706-434-9929
Mailing Address - Fax:
Practice Address - Street 1:1115 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-3338
Practice Address - Country:US
Practice Address - Phone:706-434-9929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11970374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula