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Individual

MELISSA MOORE MEYER BOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
007369
GA
367H00000X
Anesthesiologist Assistant
Primary
130
SC
367H00000X
Anesthesiologist Assistant
2000-00003
NC
367H00000X
Anesthesiologist Assistant
AA318
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016135200
FL
Enumeration date
01/14/2015
Last updated
08/29/2024
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