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Individual

DAVID ALLEN MELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
250 WESTMORELAND RD, GREER, SC 29651-9013
(864) 530-2108
Mailing address
PO BOX 19886, ATLANTA, GA 30384-8806
(864) 560-4123

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R86557
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AA1134
SC
05
GP2991
SC
Enumeration date
11/29/2005
Last updated
11/29/2011
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