Collum, Melanie D

Collum, Melanie D is an individual health care provider with primary practice located at 391 S 1St St , Jesup GA 31545-1132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Collum, Melanie D can be contacted via phone (912) 427-8433.

Contact Information

Primary practice address
391 S 1St St Jesup GA 31545-1132
Phone: (912) 427-8433
Fax: (912) 427-9851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN057165 Georgia

Profile Details

NPI number 1043242894
LBN Legal business name Collum, Melanie D
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 15th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043242894 NPPES
Georgia Other 50BBJZG MEDICARE PROVIDER NUMBER

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