Individual
MELISSA A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2067 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 792-6200
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1928
TN
363AM0700X
Medical Physician Assistant
Primary
3310
SC
363AM0700X
Medical Physician Assistant
PA04610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187794601
—
TX
01
—
8N9988
BCBS
TX
Enumeration date
07/10/2006
Last updated
02/07/2025
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