Individual
MELISSA JANE KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 713-9387
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-01770
NC
208000000X
Pediatrics Physician
58194
AZ
208000000X
Pediatrics Physician
MT210657
PA
Other
Enumeration date
06/07/2016
Last updated
08/01/2024
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