Individual
MELODIE GRAHAM PATTON HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-5761
Mailing address
570 SILVERBELL CT, LEXINGTON, SC 29073-6748
(864) 580-9364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
107384
SC
363LF0000X
Family Nurse Practitioner
Primary
20670
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4313
—
SC
01
—
SC98096067
MEDICARE PIN
SC
01
—
SC98096121
MEDICARE PIN
SC
Enumeration date
11/15/2016
Last updated
05/10/2023
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