Individual
MELANIE H PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1413 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6012
(843) 238-5654
(843) 238-1624
Mailing address
223 AUTRY AVE, CONWAY, SC 29526-2359
(843) 238-5654
(843) 238-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2956
SC
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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