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Melody Su
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1891444113

Melody Su is a Student in an Organized Health Care Education/Training Program based in Centennial, NC. Melody Su practices in Charlotte, NC. The NPI Number for Melody Su is 1891444113 and holds a License No. (North Carolina).

The current practice location address for Melody Su is 1801 Rozzelles Ferry Rd, Charlotte, NC and can be reached out via phone at 704-446-9987.

Location: 1801 Rozzelles Ferry Rd, Charlotte, NC, 80015-4177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891444113
Provider Name
Melody Su
Credential
Provider Entity Type
Individual
Gender
Female
Address
1801 Rozzelles Ferry Rd, Charlotte, NC, 80015-4177
Phone Number
704-446-9987
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W259481522 01 AETNA
institution
Provider Business Practice Location Address Details
Address
1801 Rozzelles Ferry Rd
City
Charlotte
State
North Carolina
Zip
28208-4228
Phone Number
704-446-9987
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Rozzelles Ferry Rd
City
Charlotte
State
North Carolina
Zip
28208-4228
Phone Number
704-446-9987
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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