MEDICARE: TAMMY STRICKLAND MELGAR PA-C

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
1	363AM0700X	Medical Physician Assistant	2174	SC
2	363A00000X	Physician Assistant	2174	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801992433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY STRICKLAND MELGAR PA-C

Provider Business Mailing Address
First Line	:	PO BOX 14690
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29587-4690
Country	:	US
Telephone Number	:	843-650-4006
Fax Number	:	843-650-4225

Provider Business Practice Location Address
First Line	:	1945 GLENNS BAY RD
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-4833
Country	:	US
Telephone Number	:	843-650-4006
Fax Number	:	843-650-4225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	12/13/2016

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