Individual
MRS. MELISSA FERGUSON GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
1409 PLAZA WEST DR STE D, WINSTON SALEM, NC 27103-1418
(336) 760-4333
(336) 760-1433
Mailing address
1409 PLAZA WEST DR STE D, WINSTON SALEM, NC 27103-1418
(336) 760-4333
(336) 760-1433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
224P00000X
Prosthetist
—
NC
225000000X
Orthotic Fitter
—
NC
Other
Enumeration date
03/05/2015
Last updated
03/25/2015
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