BRIAN MARK MELANCON

DUE WEST, SC
NPI1417526146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  25065)
Enumeration Date2021-06-17
Last Update Date2021-06-17
Business Address
BRIAN MARK MELANCON APRN, FNP-C
6 COLLEGE ST
DUE WEST, SC 29639-9554
Phone number: 864-379-2345
Mailing Address
BRIAN MARK MELANCON APRN, FNP-C
313 PROJECT RD
IVA, SC 29655-9055
Phone number: 864-616-1062
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