MELISSA KELLUM PARENT

CHARLESTON, SC
NPI1164804019
Former NameMELISSA KELLUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: SC  19559)
Enumeration Date2015-06-26
Last Update Date2020-10-28
Business Address
MELISSA KELLUM PARENT AGACNP
169 ASHLEY AVE
CHARLESTON, SC 29425-8905
Phone number: 843-792-2123
Mailing Address
MELISSA KELLUM PARENT AGACNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number:
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