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Individual
DR. MELODYE ELLIOTT VISSER
Active
Individual
DR. MELODYE ELLIOTT VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0031921
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7985079
—
NC
05
—
890262
—
NC
Enumeration date
10/27/2006
Last updated
10/02/2019
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