Individual
MELIA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9590
Mailing address
3334 HIGHWAY 496, MERIDIAN, MS 39301-7120
(601) 479-4766
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
906647
MS
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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