Individual
MELANIE A HURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
257 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 396-1886
(336) 396-1887
Mailing address
PO BOX 231509, MONTGOMERY, AL 36123-1509
(334) 396-1886
(334) 396-1887
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.77
AL
363AS0400X
Surgical Physician Assistant
—
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Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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