Individual
MELANIE J WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
725 HIGHLAND AVE UNIT 100, WINSTON SALEM, NC 27101-4181
(336) 607-8523
(336) 773-0913
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75729
NC
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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