Provider Demographics
NPI:1629287008
Name:TAYLOR-MCINTYRE, MELISSA A (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:TAYLOR-MCINTYRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:A
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:349L COPPERFIELD BLVD NE # 388
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2403
Mailing Address - Country:US
Mailing Address - Phone:704-910-9800
Mailing Address - Fax:
Practice Address - Street 1:929 CONCORD PKWY S
Practice Address - Street 2:SUITE G
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-9026
Practice Address - Country:US
Practice Address - Phone:704-910-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor