| Melanie Dolores Gray Miller, MD | |
|
203 Earnhart Dr Ste A, Edenton, NC 27932-8401 | |
| (252) 482-7407 | |
| Not Available |
| Full Name | Melanie Dolores Gray Miller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 203 Earnhart Dr Ste A, Edenton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104408657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2024-00954 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Dolores Gray Miller, MD 203 Earnhart Dr Ste A, Edenton, NC 27932-8401 Ph: (252) 482-7407 | Melanie Dolores Gray Miller, MD 203 Earnhart Dr Ste A, Edenton, NC 27932-8401 Ph: (252) 482-7407 |
Dr. Ian Luke Bryan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18 Old Fish Hatchery Rd, Edenton, NC 27932 Phone: 252-484-9024 Fax: 252-404-8424 | |
Bartholomew J Resta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 203 Earnhart Dr, Edenton, NC 27932 Phone: 252-482-7407 Fax: 252-482-5529 | |
Dr. Raid Abo-kamil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 203 Earnhart Dr, Edenton, NC 27932 Phone: 252-482-7407 Fax: 252-482-5529 |