Individual
MRS. MELISSA BATENIC LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PA-C
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 403-3051
Mailing address
2243 N LINCOLN AVE APT 3A, CHICAGO, IL 60614-3781
(312) 550-2309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002501
IL
Other
Enumeration date
02/12/2007
Last updated
02/26/2020
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