Individual
MELANIE ANDREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SIMS AVE, COLUMBIA, SC 29205-2618
(803) 256-1000
Mailing address
620 SIMS AVE, COLUMBIA, SC 29205-2618
(803) 256-1000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TL307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL307
PRIVATE INSURANCE
SC
Enumeration date
01/25/2019
Last updated
01/25/2019
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