Individual
MELISSA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-2100
Mailing address
105 SHADY OAK TRL, DEATSVILLE, AL 36022-3614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-193371
AL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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