Organization
NANCY R. MELLIN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY R MELLIN MD (OWNER)
(985) 542-9155
Entity
Organization
Contact information
Practice address
15770 PAUL VEGA MD DR, SUITE #204, HAMMOND, LA 70403-1475
(985) 542-9155
Mailing address
15770 PAUL VEGA MD DR, SUITE #204, HAMMOND, LA 70403-1475
(985) 542-9155
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
020570
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449407
—
LA
Enumeration date
03/15/2007
Last updated
07/16/2007
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