Mr. MELVIN M ANDERSON III
Individual Provider (NPI-1)
Active
Supports Brokerage
Provider Information
- NPI Number
1942076195- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 507 MARKET ST, PORT GIBSON, MS, 391502041
- Phone
- (601) 618-3728
Specialties & Taxonomies
Military Health Care Provider
Local Education Agency (LEA)
Home Health Aide
Home Health Aide
License: MS
Homemaker
Respite Care
Supports Brokerage
Primary