Individual
MRS. MELISSA PECKO SHULEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2059
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1830
TN
363AM0700X
Medical Physician Assistant
PA-626
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518643
—
TN
01
—
4256870
BCBSTN
TN
Enumeration date
03/16/2009
Last updated
01/10/2012
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