Provider Demographics
NPI:1881045144
Name:HARDY, MELANIE (MS, MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:MS, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 NEW PEACHTREE RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3326
Mailing Address - Country:US
Mailing Address - Phone:404-778-8673
Mailing Address - Fax:404-778-8642
Practice Address - Street 1:5115 NEW PEACHTREE RD STE 301
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-3326
Practice Address - Country:US
Practice Address - Phone:404-778-8673
Practice Address - Fax:404-778-8642
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000642170300000X
CT84170300000X
DECG-0000070170300000X
IL246.000216170300000X
IN74000095A170300000X
MAGC260170300000X
NE42170300000X
NH0024170300000X
NJ25MJ00013500170300000X
NMGC2015-022170300000X
NDGC0017170300000X
OH00192170300000X
OK54170300000X
PAGC000261170300000X
SD0055170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS