Individual
MELANIE JENNINGS DEMATTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-2480
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201400414
NC
207R00000X
Internal Medicine Physician
34010967
OH
207R00000X
Internal Medicine Physician
37771
SC
208M00000X
Hospitalist Physician
Primary
37771
SC
Other
Enumeration date
05/19/2010
Last updated
10/27/2020
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