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Individual
MELISSA H FANG
Active
Individual
MELISSA H FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11687
GA
363A00000X
Physician Assistant
Primary
C02885
MD
363A00000X
Physician Assistant
PA17430
TX
363AM0700X
Medical Physician Assistant
MA053434
PA
Other
Enumeration date
07/10/2006
Last updated
02/29/2024
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