Individual
DR. MELANIE JESSUP EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2391 COURT DR STE 100, GASTONIA, NC 28054-2197
(704) 867-7388
(704) 865-8999
Mailing address
1548 UNION RD STE D, GASTONIA, NC 28054-5530
(704) 610-7474
(704) 610-7475
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
494
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081C1
BCBS
NC
05
—
5908687
—
NC
01
—
7550724
AETNA
NC
Enumeration date
05/12/2006
Last updated
06/18/2020
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