Individual
MS. MELINDA BETH ILG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4400 GOLF ACRES DR, BUILDING J SUITE D, CHARLOTTE, NC 28208-5990
(704) 774-7419
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 774-7419
(704) 512-3825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1326
NC
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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