Individual
DR. GWENESTA BARNUM MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2125 VALLEYGATE DR, SUITE 201, FAYETTEVILLE, NC 28304-3753
(910) 323-1322
(910) 323-1510
Mailing address
PO BOX 43905, FAYETTEVILLE, NC 28309-3905
(910) 323-1322
(910) 323-1510
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
33712
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1408642
UNITED HEALTHCARE
—
01
—
58592
BLUE CROSS BLUE SHIELD
—
01
—
660002162
RAILROAD MEDICARE
—
05
—
7958592
—
NC
Enumeration date
08/14/2006
Last updated
11/18/2008
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