| Melva-needs Care Services, Llc | |
|
162 Ocilla Hwy Ste 14 Fitzgerald GA 31750-3795 | |
| (229) 239-9677 | |
| Not Available |
| Full Name | Melva-needs Care Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 162 Ocilla Hwy Ste 14, Fitzgerald, Georgia |
| Authorized Official Name and Position | Melvanie Melton-smith (OWNER) |
| Authorized Official Contact | 2292399677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melva-needs Care Services, Llc 162 Ocilla Hwy Ste 14 Fitzgerald GA 31750-3795 Ph: (229) 239-9677 | Melva-needs Care Services, Llc 162 Ocilla Hwy Ste 14 Fitzgerald GA 31750-3795 Ph: (229) 239-9677 |
| NPI Number | 1467145011 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 8921443904 |
|---|---|
| Medicare Enrollment ID | O20240229001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467145011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Melvanie Melton-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104293927 PECOS PAC ID: 3678874542 Enrollment ID: I20151217002382 |
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