Individual
MELANIE HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4760 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 288-0814
(334) 288-3417
Mailing address
4760 WOODMERE BLVD, MONTGOMERY, AL 36106-3065
(334) 288-0814
(334) 288-3417
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00019879
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033781
—
AL
05
—
000033782
—
AL
05
—
000040637
—
AL
01
—
3110016
UNITED HEALTH
—
01
—
390004990
RAILROAD MEDICARE
—
01
—
51033781HAL
BCBS OF ALABAMA
—
01
—
51033782HAL
BCBS OF ALABAMA
—
01
—
51040637HAL
BCBS OF ALABAMA
—
01
—
F49427
HEALTH SPRINGS
—
Enumeration date
06/22/2005
Last updated
02/19/2010
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