Individual
MRS. MELINDA SUE POTTS-TRIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #101
Contact information
Practice address
230 KAREN CIR, WINSTON SALEM, NC 27105-1540
(336) 767-7272
(336) 767-7211
Mailing address
230 KAREN CIR, WINSTON SALEM, NC 27105-1540
(336) 767-7272
(336) 767-7211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMBT #101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMBT #101
LICENSE
NC
Enumeration date
11/07/2006
Last updated
07/08/2007
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