Organization
AZALEA PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY S MELGAR PA-C (OWNER)
(910) 297-0137
Entity
Organization
Contact information
Practice address
422 STRADLEIGH RD, WILMINGTON, NC 28403-1232
(910) 297-0137
Mailing address
422 STRADLEIGH RD, WILMINGTON, NC 28403-1232
(910) 297-0137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103239
NC
Other
Enumeration date
09/14/2006
Last updated
07/22/2013
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