Individual
MELANIE CORGILL-COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A-SLP
Contact information
Practice address
4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
(919) 787-1374
Mailing address
4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
(919) 787-1374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2634
AL
237600000X
Audiologist-Hearing Aid Fitter
Primary
2635
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q39713B297
MEDICARE PTAN
—
Enumeration date
02/26/2008
Last updated
06/18/2013
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