Individual
AL LEODUS MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8688
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200200416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087674
RAILROAD-MEDICARE
NC
01
—
1315E
BCBS NC
NC
01
—
1516564
CIGNA
NC
01
—
800546
PARTNERS
NC
05
—
891315E
—
NC
01
—
B7229
MEDCOST
NC
Enumeration date
09/01/2006
Last updated
03/22/2022
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