Individual
MELVIN D GERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 COLUMBUS CORNERS DR, WHITEVILLE, NC 28472-4929
(910) 642-2050
(910) 207-6911
Mailing address
PO BOX 75492, BALTIMORE, MD 21275-5492
(301) 364-3200
(301) 364-3261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20005
NC
207Q00000X
Family Medicine Physician
C38803002
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021634500
—
DC
05
—
021634500
—
NC
01
—
35140802
BCBS OF MD
MD
05
—
411011100
—
MD
01
—
87020003
BCBS CARE1ST
DC
Enumeration date
06/16/2006
Last updated
06/11/2024
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