Individual
TONYA LEIGH MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
121 CLEMSON RD, COLUMBIA, SC 29229-6545
(803) 419-6000
Mailing address
121 CLEMSON RD, COLUMBIA, SC 29229-6545
(803) 419-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3177
SC
Other
Enumeration date
08/02/2006
Last updated
12/31/2010
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