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NPI Code Detail

MEDICARE: TONI MARIE MELVILLE MD

MEDICARE: TONI MARIE MELVILLE 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
1207Q00000XFamily Medicine Physician2015-01428NC

General Provider Information

NPI Number : 1346508017
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONI MARIE MELVILLE MD
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 SCOTT AVE
Second Line : STE 200
City : CHARLOTTE
State : NC
Zip : 28203-6046
Country : US
Telephone Number : 704-381-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 07/15/2024

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Directions to “ TONI MARIE MELVILLE MD” Practice Location

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