Individual
MELISSA ANNE BERETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
628 E 12TH ST, ATTN JAMES MANNING, WASHINGTON, NC 27889-3409
(252) 946-0900
Mailing address
101 DOGWOOD DR, GREENVILLE, NC 27834-6421
(252) 947-0485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200501363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142CG
BCBS OF NC
NC
05
—
5905245
—
NC
Enumeration date
03/22/2006
Last updated
10/21/2010
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