Visser, Melodye Elliott

Visser, Melodye Elliott is an individual health care provider with primary practice located at 1300 Bridge Barrier Rd Ste 2 , Carolina Beach NC 28428-3939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Visser, Melodye Elliott can be contacted via phone (910) 341-3300.

Contact Information

Primary practice address
1300 Bridge Barrier Rd Ste 2 Carolina Beach NC 28428-3939
Fax: (910) 251-2067
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0031921 North Carolina

Profile Details

NPI number 1245316082
LBN Legal business name Visser, Melodye Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245316082 NPPES
North Carolina MEDICAID 7985079
North Carolina MEDICAID 890262

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