Melancon, Brian Mark

Melancon, Brian Mark is an individual health care provider with primary practice located at 6 College St , Due West SC 29639-9554. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Melancon, Brian Mark can be contacted via phone (864) 379-2345.

Contact Information

Primary practice address
6 College St Due West SC 29639-9554
Phone: (864) 379-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25065 South Carolina

Profile Details

NPI number 1417526146
LBN Legal business name Melancon, Brian Mark
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2021
Last updated Jun 17th, 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.

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