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Individual

DR. MELISSA PRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
877 W FARIS RD, GREENVILLE, SC 29605-4289
(864) 455-7800
(864) 455-9082
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017-01056
NC
207Q00000X
Family Medicine Physician
Primary
89226
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265791420
NC
01
19R2R
BCBS OF NC
NC
01
NCX5650280
MEDICARE
NC
05
PENDING
SC
Enumeration date
05/09/2012
Last updated
06/06/2023
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