Individual
CHRISTINE MARIE MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 OAKRIDGE BLVD, SUITE C-1, LUMBERTON, NC 28358-2351
(910) 738-9601
(910) 671-8261
Mailing address
725 OAKRIDGE BLVD, SUITE C-1, LUMBERTON, NC 28358-2351
(910) 738-9601
(910) 671-8261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2000-00896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126H2
BLUE CROSS BLUE SHIELD
NC
05
—
89126H2
—
NC
Enumeration date
09/29/2005
Last updated
01/28/2021
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