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
Phone: (706) 320-2773
Fax: (706) 596-4226
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821247545 | NPPES |
Alabama | MEDICAID | 168374 | |
Alabama | MEDICAID | 690662130B |
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