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Contact Information

MELINDA DELISLE
300 COLONIAL CENTER PKWY STE 100
ROSWELL, GA30076-4892
 Phone: 678-439-9695
 Fax: 678-672-1990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MELINDA DELISLE · (Female)

NPI # 1144187329
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2026
Last updated 01/08/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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