Healthcare Provider Details

I. General information

NPI: 1194302760
Provider Name (Legal Business Name): MELANIE KATHARINE DUMAS AM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. MELANIE KATHARINE DUMAS

II. Dates (important events)

Enumeration Date: 03/28/2021
Last Update Date: 03/28/2021
Certification Date: 03/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4391 COUNTY ROAD 31
FRANKVILLE AL
36538-6108
US

IV. Provider business mailing address

4391 COUNTY ROAD 31
FRANKVILLE AL
36538-6108
US

V. Phone/Fax

Practice location:
  • Phone: 251-754-9435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744G0900X
TaxonomyGraphics Designer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: