Individual
MELISSA WHITFIELD LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1333 TAYLOR ST STE 2D, COLUMBIA, SC 29201-2945
(803) 438-3800
(803) 438-3898
Mailing address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 438-3800
(803) 438-3898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26227
SC
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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