Melton, Sandra Flint
Melton, Sandra Flint is an individual health care provider with primary practice located at 1241 S Mound St Ste A , Grenada MS 38901-4515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Melton, Sandra Flint can be contacted via phone (662) 226-3711.Contact Information
Primary practice address
1241 S Mound St Ste A
Grenada MS 38901-4515
Phone: (662) 226-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R696943 | Mississippi |
Profile Details
| NPI number | 1629103510 |
|---|---|
| LBN Legal business name | Melton, Sandra Flint |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Aug 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629103510 | NPPES |
| Mississippi | MEDICAID | 06777358 |
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