Individual
MELISSA LINCOLN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 885-0239
Mailing address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 885-0239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14185694-1206
UT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
03/03/2026
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