Individual
MELODIE CORNIQUE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7800 PROVIDENCE RD, STE 203, CHARLOTTE, NC 28226-2952
(704) 512-2610
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2015-01580
NC
Other
Enumeration date
07/06/2010
Last updated
07/15/2024
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