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Individual

MELANIE J MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5200
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800326
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11757
BCBS
NC
01
1598843518
PARTNERS
NC
01
1598843518
VIRGINIA MEDICAID
VA
05
1598843518
NC
01
159884518
TRICARE
NC
01
1840740
UNITED HEALTHCARE
NC
01
26184
PARTNERS MEDICARE
NC
01
267252
MEDCOST
NC
01
5345685
AETNA
NC
05
8911757
NC
01
B1928
MEDCOST
NC
01
Q0032Q
SC MEDICAID
SC
Enumeration date
11/01/2006
Last updated
06/19/2014
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