Individual
SANDRA KIMBERLY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 356-2011
(912) 351-3550
Mailing address
720 GLENBROOK RD, SAVANNAH, GA 31419-2426
(912) 663-9961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005063
GA
Other
Enumeration date
06/16/2007
Last updated
03/20/2012
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