Individual
MELISSA E RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6122
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21566
SC
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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