Individual
MELVIN RUSSELL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7190 NC HIGHWAY 11, WILLARD, NC 28478-7062
(910) 441-7080
(910) 552-5006
Mailing address
PO BOX 211, WILLARD, NC 28478-0211
(910) 441-7080
(910) 552-5006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2926
NC
103TC0700X
Clinical Psychologist
2926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046EG
BCBS NC
NC
05
—
6000679
—
NC
01
—
62-00242
EVERCARE
—
Enumeration date
01/09/2006
Last updated
07/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us