Individual
MELISSA WEBBER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
25499
SC
Other
Enumeration date
05/11/2021
Last updated
12/01/2021
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