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Individual

DR. MELISSA WHEATON HORNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10804
NC
231H00000X
Audiologist
4039
SC
231H00000X
Audiologist
A.01836
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1040579
WELLCARE
NC
01
185Z6
BCBS
NC
01
Q47750A
MEDICARE
NC
01
Q527075874
MEDICARE
SC
05
SAN115
SC
Enumeration date
01/07/2013
Last updated
03/29/2016
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