Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 9701060 | NC |
NPI | 1033206461 |
---|---|
Provider Name | Stephen Melson |
First Address | Charlotte, NC 28219-9305 |
Second Address | Forest City, NC 28043-7151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 05/01/2022 |