Provider Demographics
NPI:1265255947
Name:MELVIN, FELICIA PRESSLEY
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:PRESSLEY
Last Name:MELVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 QUAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6505
Mailing Address - Country:US
Mailing Address - Phone:910-416-2145
Mailing Address - Fax:
Practice Address - Street 1:120 QUAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6505
Practice Address - Country:US
Practice Address - Phone:910-416-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management