Individual
CASEY NICOLE EVERHART MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
624 QUAKER LN STE 200D, HIGH POINT, NC 27262-3800
(336) 878-6101
(336) 878-6155
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05457
NC
Other
Enumeration date
12/30/2014
Last updated
06/17/2022
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