Individual
MISS MELISSA ALEXANDRA GONZALEZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
89561
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2018
Last updated
08/10/2023
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