Basic Information
| Provider Information | |||||||||
| NPI: | 1245541226 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOLLAR | ||||||||
| FirstName: | MELISSA | ||||||||
| MiddleName: | MATHIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2121B BELLEVUE RD | ||||||||
| Address2: | ATTN: ADMINISTRATOR | ||||||||
| City: | DUBLIN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310212952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4782756545 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2121 BELLEVUE RD | ||||||||
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| City: | DUBLIN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 310212952 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4782756545 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2010 | ||||||||
| LastUpdateDate: | 03/17/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251P0200X | GA PT 007511 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics |
No ID Information.