Individual
MR. MELVIN NELSON LEVERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2010 BALDWIN LN, WINSTON SALEM, NC 27103-5846
(336) 277-1717
Mailing address
2010 BALDWIN LN, WINSTON SALEM, NC 27103-5846
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-06040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-06040
NC STATE MEDICAL BOARD
NC
Enumeration date
10/22/2015
Last updated
08/19/2021
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