Provider Demographics
NPI:1023266780
Name:WILL, MELISSA ANNE (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:WILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1393 BALD MOUNTAIN ROAD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714
Mailing Address - Country:US
Mailing Address - Phone:828-682-0601
Mailing Address - Fax:
Practice Address - Street 1:113 DOCTORS PARK
Practice Address - Street 2:LINCOLN PEDIATRICS CLINIC, P.A.
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092
Practice Address - Country:US
Practice Address - Phone:704-735-1441
Practice Address - Fax:704-732-9376
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800420208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics