NPI 1942076195
Melvin M Anderson
Practice location
- Address
- 507 Market St, Port Gibson, MS 39150-2041
- Phone
- (601) 618-3728
- Mailing address
- PO Box 124, Port Gibson, MS 39150-0124
Registered specialties (7)
Supports Brokerage Agency
Primary
Military Health Care Provider
Local Education Agency (LEA)
Home Health Aide
Home Health Aide
Respite Care
Registry record
- NPI
- 1942076195
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Nov 2023
- Record last updated
- 29 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.