MELISSA MICHELLE BLACKMON

WEST COLUMBIA, SC
NPI1477816668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  17870)
Enumeration Date2012-06-21
Last Update Date2020-10-13
Business Address
Mrs. MELISSA MICHELLE BLACKMON NP-C
222 E MEDICAL LN STE 100&200
WEST COLUMBIA, SC 29169-4847
Phone number: 803-935-8410
Mailing Address
Mrs. MELISSA MICHELLE BLACKMON NP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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