Individual
ELIZABETH MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2155
Mailing address
121 ALAMO CIR, SALUDA, SC 29138-1668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
887
SC
Other
Enumeration date
01/21/2016
Last updated
02/05/2016
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