Individual
MELY C. LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 COURTNEY DRIVE, CHARLESTON, WV 25304-2699
(304) 926-0940
(304) 926-0943
Mailing address
8 COURTNEY DRIVE, CHARLESTON, WV 25304-2699
(304) 926-0940
(304) 926-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052855000
—
WV
Enumeration date
06/22/2005
Last updated
03/15/2017
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