Provider Demographics
NPI:1770460727
Name:SOLOMON, MELVAY TAYLOR
Entity type:Individual
Prefix:
First Name:MELVAY
Middle Name:TAYLOR
Last Name:SOLOMON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 MANOR VILLAGE WAY APT 304
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3653
Mailing Address - Country:US
Mailing Address - Phone:412-737-9865
Mailing Address - Fax:
Practice Address - Street 1:4411 MANOR VILLAGE WAY APT 304
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3653
Practice Address - Country:US
Practice Address - Phone:412-737-9865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula