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Individual

SHERRY M MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-2340
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-2340
(570) 808-7904

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20941
AL
208600000X
Surgery Physician
Primary
MD493381
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000032692
BLUE CROSS
AL
05
000032692
AL
05
004402466
AL
01
010033CG37623
SECTION 1011
AL
01
010058060
RAILROAD MEDICARE
AL
01
051502749
BLUE CROSS
AL
01
1413682
EMERGENCY LA MEDICAID
LA
01
G37623
VIVA
AL
Enumeration date
07/03/2006
Last updated
02/20/2026
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