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NPI Code Detail

MEDICARE: MELISSA KOSTER PA-C

MEDICARE: MELISSA KOSTER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician0010-16320NC

General Provider Information

NPI Number : 1639992027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KOSTER PA-C
Provider Business Mailing Address
First Line : 850 WH SMITH BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-3763
Country : US
Telephone Number : 252-847-1550
Fax Number :
Provider Business Practice Location Address
First Line : 2100 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2818
Country : US
Telephone Number : 252-847-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 02/24/2026

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Directions to “ MELISSA KOSTER PA-C” Practice Location

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