Provider Demographics
NPI:1285172981
Name:MARKEY, MELANIE REYER (PA-C)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:REYER
Last Name:MARKEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:980-302-8659
Mailing Address - Fax:980-302-8674
Practice Address - Street 1:15830 BALLANTYNE MEDICAL PL STE 275
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4791
Practice Address - Country:US
Practice Address - Phone:980-302-8659
Practice Address - Fax:980-302-8674
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-11790363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical