Trevathan, Melody Kay

Trevathan, Melody Kay is an individual health care provider with primary practice located at 2122 Manchester Expy , Columbus GA 31904-6878. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Trevathan, Melody Kay can be contacted via phone (706) 320-2773.

Contact Information

Primary practice address
2122 Manchester Expy Columbus GA 31904-6878
Fax: (706) 596-4226
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN082035 Georgia

Profile Details

NPI number 1821247545
LBN Legal business name Trevathan, Melody Kay
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Sep 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821247545 NPPES
Alabama MEDICAID 168374
Alabama MEDICAID 690662130B

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