Healthcare Provider Details

I. General information

NPI: 1790155984
Provider Name (Legal Business Name): MELISSA SUE AUBIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4208 MURDOCKSVILLE RD
WEST END NC
27376-8871
US

IV. Provider business mailing address

205 PAGE RD
PINEHURST NC
28374-8798
US

V. Phone/Fax

Practice location:
  • Phone: 910-255-4329
  • Fax:
Mailing address:
  • Phone: 910-255-4329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-07678
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: