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Individual

MELONY LEE MALLOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2101 GARNER RD STE 107, RALEIGH, NC 27610-4687
(919) 787-6131
Mailing address
1203 KINGSBROOK RD, GREENVILLE, NC 27858-3811
(252) 341-1461

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5011396
NC

Other

Enumeration date
01/27/2019
Last updated
12/11/2020
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