Organization
MELBY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK A MELBY DO (SOLE MBR)
(757) 377-7137
Entity
Organization
Contact information
Practice address
1148 WESSINGTON MANOR LN, FORT MILL, SC 29715-7806
(757) 377-7137
Mailing address
1148 WESSINGTON MANOR LN, FORT MILL, SC 29715-7806
(757) 377-7137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO36425
SC
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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