Provider Demographics
NPI:1275505984
Name:CAVICCHIA, MELINDA ANN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:ANN
Last Name:CAVICCHIA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF THE ARMY, WAMC STOP A
Mailing Address - Street 2:2817 REILLY RD., MCXC-DPM LTC MELINDA A. CAVICCHIA
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-396-5022
Mailing Address - Fax:
Practice Address - Street 1:245 CLEARWATER HBR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27332-6691
Practice Address - Country:US
Practice Address - Phone:919-499-0893
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI34117-020207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine