Individual
MRS. MELANIE R. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6587
(423) 946-4163
(423) 232-6903
Mailing address
1 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6587
(423) 946-4163
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1494
TN
363A00000X
Physician Assistant
—
TN
363AS0400X
Surgical Physician Assistant
Primary
1494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3665068
—
TN
Enumeration date
03/07/2007
Last updated
10/24/2013
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