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Individual

MELANIE DANIELLE MATTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 22601
(540) 662-0306
(855) 264-2066
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101642786
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000553833
WV BLUE SHIELD
WV
05
006012124
VA
05
0075072000
WV
01
08247400000
QUALCHOICE PROFESSIONAL
01
100465
ANTHEM PROFESSIONAL
01
2119642
MAMSI PROFESSIONAL
01
3810003817
WV MEDICAID GROUP
WV
05
412529100
MD
01
44155
SENTARA PROFESSIONAL
01
550941600
MD MEDICARE GROUP
MD
01
C00085
VA MEDICARE GROUP
VA
01
P00656342
RAILROAD MEDICARE
Enumeration date
04/08/2006
Last updated
09/14/2021
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