Organization
MELISSA DEBERRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DEBERRY MD (OWNER/MD)
(256) 585-3961
Entity
Organization
Contact information
Practice address
180 OLD HIGHWAY 431 STE C, OWENS CROSS ROADS, AL 35763-9274
(256) 585-3961
(256) 585-3971
Mailing address
5004 WILLOW CREEK DR SE, OWENS CROSS ROADS, AL 35763-9157
(256) 585-3961
(256) 585-3971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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