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General NPI Number Information
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NPI Number | 1932636016
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Entity Type | Individual
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Provider Name | MELISSA STOUT DAVIES DO
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1730 KERNERSVILLE MEDICAL PKWY STE 104
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City | KERNERSVILLE
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State | NC
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Zip | 27284-7198
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Country | US
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Telephone | 336-765-5470
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Fax | 336-499-5428
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Provider Business Mailing Address
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Address Line | 301 E WENDOVER AVE STE 300
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City | GREENSBORO
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State | NC
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Zip | 27401-1231
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Country | US
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Telephone | 336-268-3380
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2021-01634
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License Number State | NC
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