Richardson, Melissa K

Richardson, Melissa K is an individual health care provider with primary practice located at 131 Commonwealth Dr Ste 100 , Greenville SC 29615-4838. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Richardson, Melissa K can be contacted via phone (864) 675-4830.

Contact Information

Primary practice address
131 Commonwealth Dr Ste 100 Greenville SC 29615-4838
Phone: (864) 675-4830
Fax: (864) 675-4825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 20894 South Carolina

Profile Details

NPI number 1639199201
LBN Legal business name Richardson, Melissa K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 14th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639199201 NPPES
South Carolina MEDICAID 208947
South Carolina MEDICAID 400710

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