Individual
MS. MELISSA LYNN HARTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
603 CAMPUS DR, SUITE 100, ABINGDON, VA 24210-9700
(276) 739-8010
(276) 625-1410
Mailing address
603 CAMPUS DR, SUITE 100, ABINGDON, VA 24210-9700
(276) 739-8010
(276) 625-1410
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002632
VA
363AM0700X
Medical Physician Assistant
1625
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509053
—
TN
05
—
1770764789
—
VA
Enumeration date
11/19/2007
Last updated
02/06/2017
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