Provider Demographics
NPI:1841329422
Name:JONES, MELISSA M (DO)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1204 THE PLAZA
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5078
Mailing Address - Country:US
Mailing Address - Phone:704-837-7023
Mailing Address - Fax:980-206-3485
Practice Address - Street 1:1204 THE PLAZA
Practice Address - Street 2:SUITE # 1
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5078
Practice Address - Country:US
Practice Address - Phone:704-837-7023
Practice Address - Fax:980-206-3485
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2020-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2008-00635207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1841329422OtherNPI
TN27-3248961OtherTIN