Blackmon, Melissa Michelle

Blackmon, Melissa Michelle is an individual health care provider with primary practice located at 222 E Medical Ln Ste 100&200 , West Columbia SC 29169-4847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blackmon, Melissa Michelle can be contacted via phone (803) 935-8410.

Contact Information

Primary practice address
222 E Medical Ln Ste 100&200 West Columbia SC 29169-4847
Phone: (803) 935-8410
Fax: (803) 936-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17870 South Carolina

Profile Details

NPI number 1477816668
LBN Legal business name Blackmon, Melissa Michelle
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Oct 13th, 2020 - about 5 years ago

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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