Individual
CARLY MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3434 PRYTANIA ST STE 430, NEW ORLEANS, LA 70115-3525
(504) 899-6391
Mailing address
3434 PRYTANIA ST STE 430, NEW ORLEANS, LA 70115-3525
(504) 899-6391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324768
LA
363AS0400X
Surgical Physician Assistant
324768
LA
Other
Enumeration date
11/19/2020
Last updated
12/30/2020
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