Anthony, Tyson Mellish

Anthony, Tyson Mellish is an individual health care provider with primary practice located at 9330 State Road 54 , Trinity FL 34655-1808. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Anthony, Tyson Mellish can be contacted via phone (207) 352-8273.

Contact Information

Primary practice address
9330 State Road 54 Trinity FL 34655-1808
Phone: (207) 352-8273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912524968
LBN Legal business name Anthony, Tyson Mellish
Credentials DOCTOR OF MEDICINE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Jun 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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