Provider Demographics
NPI:1750360095
Name:TONEY, MELINDA Q (MD)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:Q
Last Name:TONEY
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 1:149 S LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3607
Mailing Address - Country:US
Mailing Address - Phone:828-552-4276
Mailing Address - Fax:877-479-3951
Practice Address - Street 1:149 S LEXINGTON AVE STE H
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3607
Practice Address - Country:US
Practice Address - Phone:182-855-2427
Practice Address - Fax:877-479-3951
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-14
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038747E207Q00000X
NC2015-00957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39794Medicare UPIN