Most Relevant Information
Provider Data
| NPI Number: | 1003347337 |
| Provider Name: | MARY ELIZABETH MELVIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2017 |
| Last Updated: | 05/26/2020 |
Provider Practice Location
3028 4TH ST STE A&B
MARIANNA
FL
324462127
Practice Location Phone/Fax
| Phone: | 8507182886 |
| Fax: | 8506335908 |
Provider Mailing Location
3028 4TH ST STE A&B
MARIANNA
FL
324462127
Provider Mailing Phone/Fax
| Phone: | 8507182886 |
| Fax: | 8506335908 |