Individual
TAMMY STRICKLAND MELGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1945 GLENNS BAY RD, SURFSIDE BEACH, SC 29575-4833
(843) 650-4006
(843) 650-4225
Mailing address
PO BOX 14690, SURFSIDE BEACH, SC 29587-4690
(843) 650-4006
(843) 650-4225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2174
SC
363AM0700X
Medical Physician Assistant
2174
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994PA
—
SC
Enumeration date
09/14/2006
Last updated
12/13/2016
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