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NPI Code Detail

MEDICARE: MELISSA EMERY

MEDICARE:   MELISSA  EMERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1679354286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA EMERY
Provider Business Mailing Address
First Line : 10202 PERKINS ROWE STE E-160
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-2067
Country : US
Telephone Number : 225-399-3148
Fax Number :
Provider Business Practice Location Address
First Line : 10202 PERKINS ROWE STE E-160
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-2067
Country : US
Telephone Number : 225-399-3148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 10/10/2023

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Directions to “ MELISSA EMERY ” Practice Location

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