Provider Demographics
NPI:1477940450
Name:HARPER, MELINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 POINT WEST DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6255
Mailing Address - Country:US
Mailing Address - Phone:646-386-6403
Mailing Address - Fax:
Practice Address - Street 1:45 POINT WEST DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6255
Practice Address - Country:US
Practice Address - Phone:646-386-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228531-1207Q00000X
SC19984207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine