Individual
MELISSA JO MANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N., BC
Contact information
Practice address
145 APPLECROSS RD, SOUTHERN PINES, NC 28387
(910) 692-7928
Mailing address
1075 INVERNESS RD, SOUTHERN PINES, NC 28387-3204
(917) 334-5356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201969
NC
363LF0000X
Family Nurse Practitioner
Primary
5003513
NC
Other
Enumeration date
11/04/2005
Last updated
03/15/2011
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