Individual
SUSAN ANITRA MELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
32792
NC
207RX0202X
Medical Oncology Physician
32792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101G
BCBS
NC
05
—
1803351000
—
WV
01
—
4136687
AETNA
—
05
—
6003281
—
VA
01
—
7273
PARTNERS
NC
05
—
891101G
—
NC
01
—
92416
MEDCOST
NC
05
—
Q32792
—
SC
Enumeration date
11/29/2005
Last updated
05/13/2016
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