Individual
HEATHER MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W MAIN ST, SUITE 200, WOODBURY, TN 37190-1100
(615) 563-4243
Mailing address
301 W MAIN ST, SUITE 200, WOODBURY, TN 37190-1100
(615) 563-4243
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81313
TN
Other
Enumeration date
01/02/2014
Last updated
01/14/2014
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