Individual
MELISSA P ODORISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607
(864) 242-4683
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1572
SC
Other
Enumeration date
10/06/2010
Last updated
07/26/2018
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