Melissa Diehl, PT

Individual provider Active NPI Case Manager/Care Coordinator · Greenville, SC

NPI 1043765712 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1043765712
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
2305005563 (VA)
Practice address
536 Old Howell Rd
Greenville, SC 29615-1969
Phone
(877) 508-3237
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2305005563VAMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2305005563 VA Yes

Addresses

Primary practice location

536 Old Howell Rd
Greenville, SC 29615-1969

Mailing address

2140 Bierce Dr
Virginia Beach, VA 23454-7217
Phone (757) 675-0588

Other providers in Greenville, SC

All providers in Greenville, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.