Individual
MELANIE H. WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-7270
(864) 241-9211
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
049598
GA
208000000X
Pediatrics Physician
Primary
52224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522241
—
SC
Enumeration date
07/18/2006
Last updated
05/07/2021
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