Individual
TABITHA SUE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1005 E TEMPLE ST, WASHINGTON COURT HOUSE, OH 43160-3600
(740) 208-2550
(740) 853-4229
Mailing address
1005 E TEMPLE ST, WASHINGTON COURT HOUSE, OH 43160-3600
(740) 208-2550
(740) 853-4229
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001977
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068840
—
OH
Enumeration date
01/23/2006
Last updated
04/29/2024
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