Individual
MELISSA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7617 EUNICE DR, FAYETTEVILLE, NC 28306-8620
(609) 686-5525
Mailing address
7617 EUNICE DR, FAYETTEVILLE, NC 28306-8620
(609) 686-5525
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
NC
1744P3200X
Prosthetics Case Management
C65554
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
C65554
NC
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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