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Contact Information

MELISSA A MAXWELL
4600 GOER DR STE 201
NORTH CHARLESTON, SC29406-6500
 Phone: 843-554-1029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for MELISSA A MAXWELL · (Female)

NPI Number 1518471192
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2017
Last updated 10/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 21770
  • SC License # 224494
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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