| Melton R Stuckey | |
|
1333 Taylor St Suite 5-e Columbia SC 29201-2923 | |
| (803) 256-1518 | |
| (803) 256-9719 |
| Full Name | Melton R Stuckey |
|---|---|
| Speciality | Family Medicine |
| Location | 1333 Taylor St, Columbia, South Carolina |
| Authorized Official Name and Position | Melton R Stuckey (OWNER) |
| Authorized Official Contact | 8032542222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melton R Stuckey Po Box 11098 Columbia SC 29211-1098 Ph: (803) 296-7305 | Melton R Stuckey 1333 Taylor St Suite 5-e Columbia SC 29201-2923 Ph: (803) 256-1518 |
| NPI Number | 1336184837 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336184837 | NPI | - | NPPES |
| GP0186 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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