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Individual
MELISSA LYNN ANDERSON
Active
Individual
MELISSA LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD89757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897578
—
SC
01
—
SCQ2246910
MEDICARE PTAN
SC
Enumeration date
06/27/2018
Last updated
10/31/2023
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