Individual
MELANIE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP-C
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3814
SC
163W00000X
Registered Nurse
243133
SC
363LF0000X
Family Nurse Practitioner
Primary
26315
SC
Other
Enumeration date
11/14/2013
Last updated
04/20/2023
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