Organization
MEL-MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NICHOLS (OWNER)
(864) 586-3979
Entity
Organization
Contact information
Practice address
1451 E MAIN ST STE 2A, SPARTANBURG, SC 29307-2245
(864) 586-3979
Mailing address
1451 E MAIN ST STE 2A, SPARTANBURG, SC 29307-2245
(864) 586-3979
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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