Individual
MELANIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 MEDICAL PKWY STE 200, GREER, SC 29650-2457
(864) 797-9550
(864) 797-9555
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52048
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2015
Last updated
03/14/2022
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