Healthcare Provider Details

I. General information

NPI: 1861598328
Provider Name (Legal Business Name): MELISSA D. GILMER-SCOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7228 MONCURE PITTSBORO RD
MONCURE NC
27559-9595
US

IV. Provider business mailing address

7228 MONCURE PITTSBORO RD
MONCURE NC
27559-9595
US

V. Phone/Fax

Practice location:
  • Phone: 919-542-4991
  • Fax: 919-542-3726
Mailing address:
  • Phone: 919-542-4991
  • Fax: 919-542-3726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200300040
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: