Organization
MELISSA N. BACCHUS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA N BACCHUS M.D. (PHYSICIAN)
(304) 767-7930
Entity
Organization
Contact information
Practice address
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7930
(304) 767-7935
Mailing address
4607 MACCORKLE AVE SW, MEDICAL PAVILION SUITE 204, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7930
(304) 767-7935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22766
WV
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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