Provider Demographics
NPI:1386787174
Name:MELIN, THOMAS ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ERIC
Last Name:MELIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2800 ASHTON DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2575
Mailing Address - Country:US
Mailing Address - Phone:910-799-2262
Mailing Address - Fax:910-799-2943
Practice Address - Street 1:2800 ASHTON DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2575
Practice Address - Country:US
Practice Address - Phone:910-799-2262
Practice Address - Fax:910-799-2943
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2011-12-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC31175207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8958575Medicaid
NC8958575Medicaid
NCC68841Medicare UPIN