Provider Demographics
NPI:1033180617
Name:CLEPPER-FAITH, MELISSA ROBIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ROBIN
Last Name:CLEPPER-FAITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 CORPORATE DRIVE SUITE 401
Mailing Address - Street 2:HILLSBOROUGH PEDIATRIC & ADOLESCENT MEDICINE PLLC
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE DRIVE SUITE 401
Practice Address - Street 2:HILLSBOROUGH PEDIATRIC & ADOLESCENT MEDICINE PLLC
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-245-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC94007542080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891314NMedicaid
NC1314NOtherBLUECROSSBLUESHIELD INS #
NCF95167Medicare UPIN