Individual
NICHOLAS MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9291 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 764-1730
(843) 764-1731
Mailing address
9291 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 764-1730
(843) 764-1731
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5150
SC
Other
Enumeration date
01/04/2024
Last updated
05/15/2025
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