Individual
ANDREA MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12650 JACKSON BLVD, COLUMBIA, SC 29207-6129
(803) 873-1552
Mailing address
348 FARMING CREEK WAY, LEXINGTON, SC 29072-7719
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1441
SC
Other
Enumeration date
07/24/2013
Last updated
10/01/2025
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