Individual
MELISSA S. MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
529 MILLS AVE, AGAPE SENIOR PRIMARY CARE, INC., GREENVILLE, SC 29201-2818
(803) 726-2350
(803) 753-9102
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., COLUMBIA, SC 29201-2818
(803) 726-2350
(803) 753-9102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1843
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004436
—
NC
01
—
AA02253365
MEDICARE PIN
SC
01
—
AA02254746
MEDICARE PIN
SC
01
—
AA02255019
MEDICARE PIN
SC
05
—
NP0795
—
SC
01
—
P00692348
RR MEDICARE
SC
Enumeration date
06/22/2005
Last updated
10/31/2019
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