Melton, Matthew Dillon
Melton, Matthew Dillon is an sole proprietor health care provider with primary practice located at 4700 Waters Ave Ste 507 , Savannah GA 31404-6220. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Melton, Matthew Dillon can be contacted via phone (912) 350-4750.Contact Information
Primary practice address
4700 Waters Ave Ste 507
Savannah GA 31404-6220
Phone: (912) 350-4750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN291004 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN291004 | Georgia |
Profile Details
| NPI number | 1598307324 |
|---|---|
| LBN Legal business name | Melton, Matthew Dillon |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2019 |
| Last updated | Jan 8th, 2020 - about 6 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 | 1598307324 | NPPES |
| South Carolina | Other | 23395 | SC BOARD OF NURSING - APRN LICENSE |
| South Carolina | Other | RN291004 | SC BOARD OF NURSING - APRN LICENSE |
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