Sandra Kimberly Melton PA-C

NPI 1457556888 - Physician Assistant - 363A00000X

NPI Details
NPI 1457556888
Gender Female
Enumeration Date 06/16/2007
Last Updated 03/20/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1915 EISENHOWER DR
SAVANNAH GA, 31406-5027, US
Phone (912) 356-2011
Fax (912) 351-3550
Business Location
720 GLENBROOK RD
SAVANNAH GA, 31419-2426, US
Phone (912) 663-9961
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 005063
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According to our database, Sandra Kimberly Melton PA-C NPI is 1457556888, taxonomy code is 363A00000X and license number is 005063, license state is located at Georgia. Sandra Kimberly Melton PA-C physically located at 1915 Eisenhower Dr, Savannah GA, 31406-5027. NPI Number Sandra Kimberly Melton PA-C has the Individual type.

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1457556888 NPI number is provided on an as is basis without warranty of any kind. 1457556888 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Kimberly Melton PA-C are for informational purposes only.