Provider Demographics
NPI:1871685354
Name:TRIGG, MELVA ESTELLA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MELVA
Middle Name:ESTELLA
Last Name:TRIGG
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4500 STUART ST
Mailing Address - Street 2:MONCRIEF ARMY COMMUNITY HOS ATTN: MCXL-PQ (CREDENIALS)
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29207-5700
Mailing Address - Country:US
Mailing Address - Phone:803-751-2618
Mailing Address - Fax:803-751-2689
Practice Address - Street 1:4500 STUART ST
Practice Address - Street 2:MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-2618
Practice Address - Fax:803-751-2689
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN