Brents, Melissa Jodi

Brents, Melissa Jodi is an sole proprietor health care provider with primary practice located at 1512 20Th Ave , Meridian MS 39301-4124. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Brents, Melissa Jodi can be contacted via phone (601) 483-8300.

Contact Information

Primary practice address
1512 20Th Ave Meridian MS 39301-4124
Phone: (601) 483-8300
Fax: (601) 484-7776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24885 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T-2537 Mississippi

Profile Details

NPI number 1790049120
LBN Legal business name Brents, Melissa Jodi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jan 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790049120 NPPES
Mississippi Other T-2537 TEMPORARY STATE MEDICAL LICENSE

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