Individual
MELISSA BICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 492-9200
(330) 492-5454
Mailing address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 492-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R1914
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
122609
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P6588
TX
Other
Enumeration date
11/03/2008
Last updated
05/15/2023
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