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Individual

MRS. MARIAH PAIGE MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4400 HEMINGWAY DR APT 251, OKLAHOMA CITY, OK 73118-2241
(918) 629-9212
Mailing address
32 CHURCH ST, MOUNTAIN BRK, AL 35213-3702

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1742
AL
363A00000X
Physician Assistant
3073
OK
363A00000X
Physician Assistant

Other

Enumeration date
05/21/2019
Last updated
03/31/2023
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