Individual
MELANIE M DURHAM
Active
Individual
MELANIE M DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
992
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3669739
—
TN
Enumeration date
11/10/2005
Last updated
01/15/2010
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