Individual
MELISSA K RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 HALTON RD, GREENVILLE, SC 29607-3508
(864) 234-7654
(888) 412-1282
Mailing address
PO BOX 631341, CINCINNATI, OH 45263-1341
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208947
—
SC
05
—
400710
—
SC
Enumeration date
07/19/2006
Last updated
09/18/2024
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