Individual
MELINDA DONELLE WONSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HOSPITAL AVE, SUITE 3, JEFFERSON, NC 28640-9244
(336) 846-7433
(336) 846-7878
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7433
(336) 846-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200400621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891369H
—
NC
01
—
BCBS
0173A
NC
Enumeration date
07/05/2006
Last updated
06/13/2019
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