Individual
MELISSA A BREITLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3102 GOODMAN RD W, HORN LAKE, MS 38637-1172
(662) 342-6677
(662) 393-8819
Mailing address
PO BOX 39, SOUTHAVEN, MS 38671-0001
(901) 488-8583
(662) 393-8819
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17459
MS
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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