| Melby Medical Llc | |
|
1148 Wessington Manor Ln Fort Mill SC 29715-7806 | |
| (757) 377-7137 | |
| Not Available |
| Full Name | Melby Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1148 Wessington Manor Ln, Fort Mill, South Carolina |
| Authorized Official Name and Position | Derek A Melby (SOLE MBR) |
| Authorized Official Contact | 7573777137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melby Medical Llc 1148 Wessington Manor Ln Fort Mill SC 29715-7806 Ph: (757) 377-7137 | Melby Medical Llc 1148 Wessington Manor Ln Fort Mill SC 29715-7806 Ph: (757) 377-7137 |
| NPI Number | 1083166599 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083166599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO36425 (South Carolina) | Primary |
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