Durham, Melanie M
Durham, Melanie M is an individual health care provider with primary practice located at 1222 Trotwood Ave Suite 211, Columbia TN 38401-6436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Durham, Melanie M can be contacted via phone (931) 380-3033.Contact Information
Primary practice address
1222 Trotwood Ave Suite 211
Columbia TN 38401-6436
Phone: (931) 380-3033
Fax: (931) 388-3401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 992 | Tennessee |
Profile Details
| NPI number | 1578544110 |
|---|---|
| LBN Legal business name | Durham, Melanie M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jan 15th, 2010 - about 16 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 | 1578544110 | NPPES |
| Tennessee | MEDICAID | 3669739 |
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