Provider Demographics
NPI:1295442770
Name:PERRY, MELBA R
Entity type:Individual
Prefix:
First Name:MELBA
Middle Name:R
Last Name:PERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13277
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-3277
Mailing Address - Country:US
Mailing Address - Phone:910-474-0781
Mailing Address - Fax:
Practice Address - Street 1:188 OLIVERS CROSSROADS EXT
Practice Address - Street 2:
Practice Address - City:POLLOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28573-5901
Practice Address - Country:US
Practice Address - Phone:910-474-0781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula