Medlock, Melvin Dubose
Medlock, Melvin Dubose is an individual health care provider with primary practice located at 2934 N Elm St Ste E , Lumberton NC 28358-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Medlock, Melvin Dubose can be contacted via phone (910) 739-0022.Contact Information
Primary practice address
2934 N Elm St Ste E
Lumberton NC 28358-2987
Phone: (910) 739-0022
Fax: (910) 739-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2015-01793 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 058287 | Georgia |
Profile Details
| NPI number | 1467455493 |
|---|---|
| LBN Legal business name | Medlock, Melvin Dubose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Mar 1st, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467455493 | NPPES |
| North Carolina | Other | NCO905A | MEDICARE PTAN |
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