Blackburn, Melanie Diane
Blackburn, Melanie Diane is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 400 , Columbia SC 29203-6878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blackburn, Melanie Diane can be contacted via phone (803) 434-7945.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 400
Columbia SC 29203-6878
Phone: (803) 434-7945
Fax: (803) 434-3855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28185 | South Carolina |
Profile Details
| NPI number | 1750410965 |
|---|---|
| LBN Legal business name | Blackburn, Melanie Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jun 30th, 2021 - 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 | 1750410965 | NPPES |
| South Carolina | MEDICAID | 281858 |
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