Search › Mississippi › 363LF0000X
Melissa Ezelle
NPI 1851924013 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6414 Hwy 98 W, Suite 120
Hattiesburg, MS 39402 - Phone
- (601) 296-2833
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi