Provider Demographics
NPI:1760609457
Name:MAULDIN, MELEAH JO (DC)
Entity Type:Individual
Prefix:DR
First Name:MELEAH
Middle Name:JO
Last Name:MAULDIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 GREENWAY RD
Mailing Address - Street 2:J3
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4819
Mailing Address - Country:US
Mailing Address - Phone:828-355-9052
Mailing Address - Fax:
Practice Address - Street 1:643 GREENWAY RD
Practice Address - Street 2:J3
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4819
Practice Address - Country:US
Practice Address - Phone:828-355-9052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor