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NPI Code Detail

MEDICARE: MELISSA W. C. KING M.D.

MEDICARE:   MELISSA W. C. KING  M.D.
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
1174400000XSpecialist0101236370VA
2207N00000XDermatology Physician0101236370VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1446018OTHERVASOUTHERN HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31760421416OTHERVAUNITED HEALTHCARE
449D0227531OTHERVACLIA
5541256850OTHERVAAETNA
6220205OTHERVAANTHEM
75397773OTHERVACIGNA
866268OTHERVACARENET

General Provider Information

NPI Number : 1760421416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA W. C. KING M.D.
Provider Business Mailing Address
First Line : 9816 MAYLAND DR
Second Line : SUITE 100
City : RICHMOND
State : VA
Zip : 23233-1457
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Provider Business Practice Location Address
First Line : 9816 MAYLAND DR
Second Line : SUITE 100
City : RICHMOND
State : VA
Zip : 23233-1457
Country : US
Telephone Number : 804-282-8510
Fax Number : 804-285-5750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/15/2015

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Directions to “ MELISSA W. C. KING M.D.” Practice Location

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