Provider Demographics
NPI:1598026254
Name:CALDERON, MELINA REE (PA-C)
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:REE
Last Name:CALDERON
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:2754 NC HIGHWAY 68 S STE 111
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8382
Mailing Address - Country:US
Mailing Address - Phone:336-802-1111
Mailing Address - Fax:336-803-7136
Practice Address - Street 1:2754 NC HIGHWAY 68 S STE 111
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8382
Practice Address - Country:US
Practice Address - Phone:336-802-1111
Practice Address - Fax:336-803-7136
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07792363AM0700X
NC0010-08470363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical