Individual
JUSTIN MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
7300 PERRY CREEK RD, RALEIGH, NC 27616-6440
(919) 573-1631
(919) 573-7901
Mailing address
7300 PERRY CREEK RD, RALEIGH, NC 27616-6440
(919) 573-1631
(919) 573-7901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1571
NC
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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