MEDICARE: MELY C. LIM MD

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
1	207Q00000X	Family Medicine Physician	16257	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083610349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELY C. LIM MD

Provider Business Mailing Address
First Line	:	8 COURTNEY DRIVE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2699
Country	:	US
Telephone Number	:	304-926-0940
Fax Number	:	304-926-0943

Provider Business Practice Location Address
First Line	:	8 COURTNEY DRIVE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2699
Country	:	US
Telephone Number	:	304-926-0940
Fax Number	:	304-926-0943

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/15/2017

Similar Medicare Providers

1538165824 — ARTURO Y LIM MD
Practice Location Address:

8 COURTNEY DR
CHARLESTON, WV
25304-2699

Practice Phone: 304-926-0940
Practice Fax: 304-926-0943

1932207891 — DR. GINA RAE BUSCH M.D.
Practice Location Address:

9 COURTNEY DR
CHARLESTON, WV
25304-2699

Practice Phone: 304-925-3115
Practice Fax: 304-925-2088

1063510956 — EDWARD HENRY TILEY III M.D.
Practice Location Address:

9 COURTNEY DR
CHARLESTON, WV
25304-2699

Practice Phone: 304-925-3115
Practice Fax: 304-925-2088

1083780373 — DR. PAUL BACHWITT MD
Practice Location Address:

10 COURTNEY DRIVE
CHARLESTON, WV
25304-2699

Practice Phone: 304-925-3580
Practice Fax: 304-925-3710

1962628743 — EDWARD H. TILEY, III, M.D, INC.
Practice Location Address:

9 COURTNEY DR
CHARLESTON, WV
25304-2699

Practice Phone: 304-925-3115
Practice Fax: 304-925-2088

1013133941 — GINA R. BUSCH, M.D., INC.
Practice Location Address:

9 COURTNEY DR
CHARLESTON, WV
25304-2699

Practice Phone: 304-925-2115
Practice Fax: 304-925-2088

Directions to “ MELY C. LIM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.