Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | D0075758 | MD |
NPI | 1033357421 |
---|---|
Provider Name | Dr. Melissa Bueche Scorza |
First Address | Southern Pines, NC 28387-5724 |
Second Address | Washington, DC 20307-0003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2009 |
Last Update Date | 14/08/2019 |